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WALGREEN CO.
CH04681A RURAL MEDICAL SERVICES, INC.
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Covered Entity Details
Entity Name
RURAL MEDICAL SERVICES, INC.
Subdivision Name
PARROTTSVILLE CENTER
Type
HRSA-Funded Health Center
340B ID
CH04681A
Entity Address
111 Mockingbird Ave
Parrottsville, TN 37843-2741
Grant Number
H80CS00406
Participating Start Date
12/1/1992
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12858
2103 E. ANDREW JOHNSON HWY.
MORRISTOWN, TN 37814-5411
Pharmacy Comments
Contract Details
Approval Date
10/13/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
George E Barton, CEO
(423) 613-3300
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/13/2021
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