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WALGREEN CO.
CH04686C ACCESS FAMILY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
ACCESS FAMILY HEALTH SERVICES, INC.
Subdivision Name
Access Family Health Services - Houlka
Type
HRSA-Funded Health Center
340B ID
CH04686C
Entity Address
106 WALKER ST
HOULKA, MS 38850-9453
Grant Number
H80CS00633
Participating Start Date
7/1/2004
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06771
817 W MAIN STREET
TUPELO, MS 38801
Pharmacy Comments
Contract Details
Approval Date
5/2/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARILYN SUMERFORD, CEO
(662) 651-4686 Ext: 8103
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
5/2/2023
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