340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH04207E GREATER MERIDIAN HEALTH CLINIC, INC
Print
Covered Entity Details
Entity Name
GREATER MERIDIAN HEALTH CLINIC, INC
Subdivision Name
SHUQUALAK/NOXUBEE HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH04207E
Entity Address
167 MILLERS CHAPEL CHURCH ROAD
MACON, MS 39341
Grant Number
H80CS00439
Participating Start Date
1/1/2011
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10067
1005 W BEACON ST
PHILADELPHIA, MS 39350-3203
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
WILBERT L. JONES, CEO
(601) 693-0151 Ext: 116
Contract Pharmacy Representative
Walgreen Co
Christine Fullmer, Client Relationship Analyst
(847) 315-5300
Signed By Date
4/14/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session