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Walgreens #21389
CH04807A COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.
Subdivision Name
WOMAN'S HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH04807A
Entity Address
226 Hopkinsville St
Greenville, KY 42345
Grant Number
H80CS00562
Participating Start Date
10/1/2009
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
Walgreens #21389
Pharmacy Address
Walgreens Central Fill #21389
3299 Tchulatech Dr
Suite 101
Memphis, TN 38118
Pharmacy Comments
Contract Details
Approval Date
4/13/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Roger Arbuckle, CEO
(270) 338-5777
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/13/2022
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