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WALGREEN CO.
FP272782 ORANGE COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
ORANGE COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP272782
Entity Address
Orange County Health Department
300 West Tryon Street
Hillsborough, NC 27278
Grant Number
5 FPHPA006555-04-00
Participating Start Date
7/1/2006
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #21181
123 SUNNYBROOK RD, STE 150
RALEIGH, NC 27610
Pharmacy Comments
Contract Details
Approval Date
1/7/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Quintana Clinard Stewart, Health Director
(919) 245-2412
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/7/2020
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