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Walgreens #21373
CHC08217-00 LONGVIEW WELLNESS CENTER, INC.
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Covered Entity Details
Entity Name
LONGVIEW WELLNESS CENTER, INC.
Subdivision Name
Wellness Pointe - Longview Buliding 3
Type
HRSA-Funded Health Center
340B ID
CHC08217-00
Entity Address
1107 E. Marshall Avenue
Building 3
Longview, TX 75601
Grant Number
H80CS08217
Participating Start Date
10/1/2009
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
Walgreens #21373
Pharmacy Address
Walgreens Central Fill #21373
4100 Dale Earnhardt Way
STE 200
Northlake, TX 76262
Pharmacy Comments
Contract Details
Approval Date
10/5/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chad Jones, Chief Executive Officer
(903) 212-4777
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/5/2021
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