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WALGREENS SPECIALTY PHARMACY, LLC
CH048130 VALLEY HEALTHCARE SYSTEM, INC.
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Covered Entity Details
Entity Name
VALLEY HEALTHCARE SYSTEM, INC.
Subdivision Name
Fort Benning Road Health Center
Type
HRSA-Funded Health Center
340B ID
CH048130
Entity Address
1600 Fort Benning Road
Columbus, GA 31903-2837
Grant Number
H80CS00678
Participating Start Date
7/1/2006
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16287
130 ENTERPRISE DR
PITTSBURGH, PA 15275
Pharmacy Comments
Contract Details
Approval Date
7/13/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Asante Hilts, CEO
(706) 987-8343
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/13/2023
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