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WALGREEN CO
CH040390 MEDLINK GEORGIA, INC.
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Covered Entity Details
Entity Name
MEDLINK GEORGIA, INC.
Subdivision Name
Medlink Colbert
Type
HRSA-Funded Health Center
340B ID
CH040390
Entity Address
11 CHARLIE MORRIS RD
COLBERT, GA 30628
Grant Number
H80CS00427
Participating Start Date
7/1/2005
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #11791
2100 N BROAD STREET
COMMERCE, GA 30529
Pharmacy Comments
Contract Details
Approval Date
10/18/2011
Contract Begin Date
10/18/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steven E. Smith, Chief Executive Officer
(706) 788-3234 Ext: 230
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/20/2011
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