Contract Pharmacy Details

WALGREEN CO
CH044710 FRANKLIN PRIMARY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

FRANKLIN PRIMARY HEALTH CENTER, INC.

Subdivision Name

FRANKLIN MEDICAL MALL

Type

HRSA-Funded Health Center

340B ID

CH044710

Entity Address

1303 DR. MARTIN LUTHER KING
MOBILE, AL 36603-5398

Grant Number

H80CS00099

Participating Start Date

1/1/1994

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO

Pharmacy Address

DBA: WALGREENS #10982
2501 COLLEGE AVENUE
JACKSON, AL 36545

Pharmacy Comments

Contract Details

Approval Date

1/24/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/21/2025
Pharmacy closed

Contacts

Covered Entity Signing Official

Charles White, Chief Executive Officer
(251) 434-8188

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

1/24/2020

340B Drug Pricing Program Database