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WALGREEN CO
CH04518S Community Health Care Systems Inc
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Covered Entity Details
Entity Name
Community Health Care Systems Inc
Subdivision Name
Community Health Care Systems-Bibb
Type
HRSA-Funded Health Center
340B ID
CH04518S
Entity Address
250 Martin Luther King Jr Blvd STE 200
Macon, GA 31201-3490
Grant Number
H80CS00507
Participating Start Date
7/1/2019
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #11348
2835 WATSON BLVD
WARNER ROBINS, GA 31093
Pharmacy Comments
Contract Details
Approval Date
10/8/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carla Belcher, CEO
(478) 552-7384 Ext: 1211
Contract Pharmacy Representative
Walgreens
Joyce Abraham, Analyst, 340B Client Relationship
(847) 964-6382
Signed By Date
10/8/2021
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