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WALGREEN CO
CHC26633-02 OWENSVILLE PRIMARY CARE INC
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Covered Entity Details
Entity Name
OWENSVILLE PRIMARY CARE INC
Subdivision Name
Bay Community Health - Lothian
Type
HRSA-Funded Health Center
340B ID
CHC26633-02
Entity Address
5408 Southern Maryland Blvd Unit 7
Lothian, MD 20711-2601
Grant Number
H80CS26633
Participating Start Date
10/1/2023
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #10402
11745 ROUSBY HALL ROAD
LUSBY, MD 20657
Pharmacy Comments
Contract Details
Approval Date
7/12/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Juanita M Tryon, Chief Executive Officer
(443) 607-1438
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/5/2023
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