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WALGREEN CO.
CH04123B OCOEE REGIONAL HEALTH CORPORATION
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Covered Entity Details
Entity Name
OCOEE REGIONAL HEALTH CORPORATION
Subdivision Name
RHEA COUNTY PRIMARY CARE CENTER
Type
HRSA-Funded Health Center
340B ID
CH04123B
Entity Address
8850 Rhea County Hwy
DAYTON, TN 37321-7932
Grant Number
H80CS00762
Participating Start Date
7/1/2015
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11732
2900 PAUL HUFF PKWY. NW
CLEVELAND, TN 37312-3076
Pharmacy Comments
Contract Details
Approval Date
6/5/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
BILL MOATS, CEO
(423) 338-8995 Ext: 1212
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
6/5/2015
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