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WALGREEN CO.
CH033230 TRI-AREA COMMUNITY HEALTH
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Covered Entity Details
Entity Name
TRI-AREA COMMUNITY HEALTH
Subdivision Name
Tri-Area Community Health Center at Laurel Fork
Type
HRSA-Funded Health Center
340B ID
CH033230
Entity Address
14558 DANVILLE PIKE
LAUREL FORK, VA 24352-0009
Grant Number
H80CS00446
Participating Start Date
7/1/1995
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #16112
722 W. INDEPENDENCE BLVD
MOUNT AIRY, NC 27030
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James L. Werth, Jr., CEO
(276) 870-3008
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/15/2021
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