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WALGREEN CO
CH04471AD FRANKLIN PRIMARY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
FRANKLIN PRIMARY HEALTH CENTER, INC.
Subdivision Name
Brewton Family Dental Center
Type
HRSA-Funded Health Center
340B ID
CH04471AD
Entity Address
1115 AZALEA PL
BREWTON, AL 36426-1318
Grant Number
H80CS00099
Participating Start Date
1/1/2015
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #10761
1504 S MAIN STREET
ATMORE, AL 36502-0337
Pharmacy Comments
Contract Details
Approval Date
4/14/2023
Contract Begin Date
4/17/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Charles White, Chief Executive Officer
(251) 434-8188
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/14/2023
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