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WALGREEN CO.
CH041440 MOUNTAIN PEOPLE'S HEALTH COUNCILS, INC.
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Covered Entity Details
Entity Name
MOUNTAIN PEOPLE'S HEALTH COUNCILS, INC.
Subdivision Name
Huntsville Primary Care Center
Type
HRSA-Funded Health Center
340B ID
CH041440
Entity Address
2974 BAKER HIGHWAY
HUNTSVILLE, TN 37756
Grant Number
H80CS00467
Participating Start Date
10/1/1996
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #10959
515 E. CENTRAL AVE.
JAMESTOWN, TN 38556-4105
Pharmacy Comments
Contract Details
Approval Date
7/8/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JAMES C. LOVETT, CEO
(423) 286-4141 Ext: 30
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/8/2022
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