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WALGREEN CO
CH04245S WHATLEY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
WHATLEY HEALTH SERVICES, INC.
Subdivision Name
LaBridgette R. Ellis Medical and Dental Center
Type
HRSA-Funded Health Center
340B ID
CH04245S
Entity Address
800 Hall Street
Greensboro, AL 36744
Grant Number
H80CS00094
Participating Start Date
7/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #11404
4400 UNIVERSITY BLVD E
TUSCALOOSA, AL 35404-5104
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
David Gay, CEO
(205) 614-6135
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/16/2023
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