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Walgreens #21423
CH04814P HEALTHFIRST BLUEGRASS, INC.
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Covered Entity Details
Entity Name
HEALTHFIRST BLUEGRASS, INC.
Subdivision Name
HealthFirst Bluegrass Goodwin
Type
HRSA-Funded Health Center
340B ID
CH04814P
Entity Address
1060 Goodwin Drive, STE 110.
Lexington, KY 40505-3824
Grant Number
H80CS28202
Participating Start Date
1/1/2019
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
Walgreens #21423
Pharmacy Address
Walgreens Central Fill #21423
6275 Winchester Blvd
Canal WInchester, OH 43110-6537
Pharmacy Comments
Contract Details
Approval Date
10/5/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Wayne Linscott, CEO
(859) 270-0192
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/5/2023
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