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WALGREEN CO.
CH044523G Cabarrus Community Health Centers, Inc.
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Covered Entity Details
Entity Name
Cabarrus Community Health Centers, Inc.
Subdivision Name
Temporary Site - Mobile Van (RV Testing Unit)
Type
HRSA-Funded Health Center
340B ID
CH044523G
Entity Address
202D Mcgill Ave NW
Concord, NC 28025-4615
Grant Number
H80CS06652
Participating Start Date
10/1/2020
Last Recertification Date
1/30/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
COMMUNITY, A WALGREENS PHARMACY #16420
103 COMMERCE CENTRE DR.
SUITE 101
HUNTERSVILLE, NC 28078
Pharmacy Comments
Contract Details
Approval Date
7/31/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/29/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Don Holloman, CEO
(704) 792-2203
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/30/2020
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