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WALGREEN CO.
CH041279P Rural Health Services Consortium, Inc.
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Covered Entity Details
Entity Name
Rural Health Services Consortium, Inc.
Subdivision Name
Camp Creek Medical Center
Type
HRSA-Funded Health Center
340B ID
CH041279P
Entity Address
2994 Camp Creek Rd
Greeneville, TN 37743
Grant Number
H80CS00421
Participating Start Date
7/1/2018
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #10960
4325 HIGHWAY 66 S
ROGERSVILLE, TN 37857-3155
Pharmacy Comments
Contract Details
Approval Date
5/3/2023
Contract Begin Date
5/4/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LINDA W. BUCK, CHIEF EXECUTIVE OFFICER
(423) 272-9163 Ext: 8901
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
5/3/2023
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