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WALGREEN CO.
CH048080 McKinney Medical Center, Inc.
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Covered Entity Details
Entity Name
McKinney Medical Center, Inc.
Subdivision Name
MCKINNEY COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH048080
Entity Address
218 Quarterman St
Waycross, GA 31501-3547
Grant Number
H80CS00506
Participating Start Date
10/1/2003
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #19997
4242 SECOND ST N
FOLKSTON, GA 31537
Pharmacy Comments
Contract Details
Approval Date
7/6/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
OLA SMITH, CEO
(912) 287-0301 Ext: 108
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/6/2022
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