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WALGREEN CO.
CH044230 ANSON REGIONAL MEDICAL SERVICES
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Covered Entity Details
Entity Name
ANSON REGIONAL MEDICAL SERVICES
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH044230
Entity Address
203 SALISBURY ST.
WADESBORO, NC 28170
Grant Number
H80CS00486
Participating Start Date
7/1/1999
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #19315
1208 SKYWAY DR
MONROE, NC 28110
Pharmacy Comments
Contract Details
Approval Date
7/12/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
GWENDOLYN E. REED, CEO
(704) 694-6700 Ext: 223
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/12/2021
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