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Walgreens #21420
CH04102C GREENE COUNTY HEALTH CARE, INCORPORATED
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Covered Entity Details
Entity Name
GREENE COUNTY HEALTH CARE, INCORPORATED
Subdivision Name
KATE B. REYNOLDS MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH04102C
Entity Address
205 Martin L King Jr Pkwy
Snow Hill, NC 28580-1320
Grant Number
H80CS00088
Participating Start Date
4/1/2007
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
Walgreens #21420
Pharmacy Address
Walgreens Central Fill #21420
8440 Times Dispatch Blvd
Ste. 400
Mechanicsville, VA 23116
Pharmacy Comments
Contract Details
Approval Date
7/10/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Vito Veneruso, Chief Operating Officer
(252) 253-0962
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/10/2023
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