340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH04686R Access Family Health Services, Inc.
Print
Covered Entity Details
Entity Name
Access Family Health Services, Inc.
Subdivision Name
Access School Health - Nettleton
Type
HRSA-Funded Health Center
340B ID
CH04686R
Entity Address
179 Mullen Ave
Nettleton, MS 38858-6033
Grant Number
H80CS00633
Participating Start Date
8/25/2020
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12750
805 US HWY 278 EAST
AMORY, MS 38821
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
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session