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WALGREEN CO.
CH05064B Family Health Services of Darke County
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Covered Entity Details
Entity Name
Family Health Services of Darke County
Subdivision Name
VERSAILLES MEDICAL CENTER SITE
Type
HRSA-Funded Health Center
340B ID
CH05064B
Entity Address
10484 Kley Rd
Versailles, OH 45380-9561
Grant Number
H80CS00419
Participating Start Date
10/1/2010
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10327
1000 E MAIN ST
GREENVILLE, OH 45331-2802
Pharmacy Comments
Contract Details
Approval Date
10/14/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jared Pollick, Executive Director
(937) 548-3806
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/14/2023
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