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WALGREEN CO.
CH0622370 SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER
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Covered Entity Details
Entity Name
SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER
Subdivision Name
SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER
Type
HRSA-Funded Health Center
340B ID
CH0622370
Entity Address
725 PATE STREET
ALBANY, TX 76430-2435
Grant Number
H80CS06460
Participating Start Date
12/16/2005
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04875
3033 S. 14TH ST.
ABILENE, TX 79605
Pharmacy Comments
Contract Details
Approval Date
1/11/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/17/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Meagan Marshall, CEO
(325) 762-2447 Ext: 110
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/11/2022
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