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WALGREEN CO.
CH0622480 MIDLAND COMMUNITY HEALTHCARE SERVICES
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Covered Entity Details
Entity Name
MIDLAND COMMUNITY HEALTHCARE SERVICES
Subdivision Name
MIDLAND COMMUNITY HEALTHCARE SERVICES, INC.
Type
HRSA-Funded Health Center
340B ID
CH0622480
Entity Address
5001 Andrews Hwy
Midland, TX 79703-3337
Grant Number
H80CS06455
Participating Start Date
1/1/2005
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #13681
3221 W. WADLEY AVENUE
MIDLAND, TX 79705
Pharmacy Comments
Contract Details
Approval Date
7/2/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Austin, CEO
(432) 570-0238
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/2/2013
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