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WALGREEN CO.
TB27516 ORANGE COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
ORANGE COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Tuberculosis
340B ID
TB27516
Entity Address
Orange County Health Department
300 West Tryon Street
Hillsborough, NC 27278
Grant Number
1 NU52PS910292-01-00
Participating Start Date
1/1/2009
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #16128
200 HWY 70 EAST
HILLSBOROUGH, NC 27278
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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