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WALGREEN CO
CHC00342-00 CABUN RURAL HEALTH SERVICES, INC
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Covered Entity Details
Entity Name
CABUN RURAL HEALTH SERVICES, INC
Subdivision Name
CABUN Rural Health Services, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC00342-00
Entity Address
402 LEE ST
HAMPTON, AR 71744
Grant Number
H80CS00342
Participating Start Date
10/1/2009
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #10897
1644 E MAIN ST
MAGNOLIA, AR 71753-3804
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MELANIE SHEPPARD, CEO
(870) 798-4064 Ext: 2227
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/17/2022
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