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WALGREEN CO.
CHC24157-00 Foothills Community Health Care, Inc.
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Covered Entity Details
Entity Name
Foothills Community Health Care, Inc.
Subdivision Name
Foothills Community Health Care- Lakeside Anderson
Type
HRSA-Funded Health Center
340B ID
CHC24157-00
Entity Address
302 Pearman Dairy Road
Ste C1
Anderson, SC 29625
Grant Number
H80CS24157
Participating Start Date
10/1/2014
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09273
2539 W WHITNER ST
ANDERSON, SC 29624
Pharmacy Comments
Contract Details
Approval Date
10/11/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/16/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Mark J Rajkowski, CEO
(864) 722-0283 Ext: 205
Contract Pharmacy Representative
Walgreen
KARI MEEHAN, VICE PRESIDENT, HEALTH SYSTEMS PROGRAM
(847) 315-2663
Signed By Date
10/11/2021
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