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WALGREEN CO.
CH04094BY BLUE RIDGE COMMUNITY HEALTH SERVICES INC
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Covered Entity Details
Entity Name
BLUE RIDGE COMMUNITY HEALTH SERVICES INC
Subdivision Name
Blue Ridge Health - Swain County High School
Type
HRSA-Funded Health Center
340B ID
CH04094BY
Entity Address
1415 Fontana Rd
Bryson City, NC 28713-6951
Grant Number
H80CS00650
Participating Start Date
7/1/2023
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #19652
244 NEW CLYDE HWY
CANTON, NC 28716
Pharmacy Comments
Contract Details
Approval Date
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tammy Greenwell, CHIEF OPERATIONS OFFICER
(828) 233-2288
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/12/2023
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