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WALGREEN CO.
CH031525A PIEDMONT ACCESS TO HEALTH SERVICES INC
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Covered Entity Details
Entity Name
PIEDMONT ACCESS TO HEALTH SERVICES INC
Subdivision Name
PATHS Community Medical Center - DANVILLE
Type
HRSA-Funded Health Center
340B ID
CH031525A
Entity Address
705 Main St
Danville, VA 24541-1803
Grant Number
H80CS03972
Participating Start Date
10/1/2004
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11773
3220 HALIFAX RD.
SOUTH BOSTON, VA 24592-4908
Pharmacy Comments
Contract Details
Approval Date
1/6/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/24/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
Marsha Mendenhall, CEO
(434) 791-3630 Ext: 1023
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/6/2017
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