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WALGREEN CO.
CH061220P HEALTHY CONNECTIONS INC
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Covered Entity Details
Entity Name
HEALTHY CONNECTIONS INC
Subdivision Name
Healthy Connections-Malvern
Type
HRSA-Funded Health Center
340B ID
CH061220P
Entity Address
900 Martin Luther King Blvd Ste 200
Malvern, AR 72104-2217
Grant Number
H80CS00279
Participating Start Date
4/1/2020
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10365
308 S MAIN STREET
MALVERN, AR 72104-3790
Pharmacy Comments
Contract Details
Approval Date
3/9/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tony Calandro, CEO
(479) 437-3449 Ext: 181
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2020
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