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WALGREEN CO.
CH041420 MATTHEW WALKER COMPREHENSIVE HEALTH
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Covered Entity Details
Entity Name
MATTHEW WALKER COMPREHENSIVE HEALTH
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH041420
Entity Address
1035 14TH AVENUE NORTH
NASHVILLE, TN 37208
Grant Number
H80CS00710
Participating Start Date
12/1/1992
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12875
2975 FORT CAMPBELL BLVD.
CLARKSVILLE, TN 37042
Pharmacy Comments
Contract Details
Approval Date
1/13/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KATINA BEARD, CEO
(615) 340-1265
Contract Pharmacy Representative
Matthew Walker Comprehensive Health Center Pharmacy
KENDALL HENRY, DIRECTOR OF PHARMACY
(615) 329-1900
Signed By Date
1/13/2020
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