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WALGREEN CO.
CH041279C RURAL HEALTH SERVICES CONSORTIUM, INC.
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Covered Entity Details
Entity Name
RURAL HEALTH SERVICES CONSORTIUM, INC.
Subdivision Name
BLUFF CITY MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH041279C
Entity Address
229 Highway 19 E
Bluff City, TN 37618-1865
Grant Number
H80CS00421
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #10960
4325 HIGHWAY 66 S
ROGERSVILLE, TN 37857-3155
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LINDA W. BUCK, CHIEF EXECUTIVE OFFICER
(423) 272-9163 Ext: 8901
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/16/2023
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