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Walgreens #21389
CH04245R WHATLEY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
WHATLEY HEALTH SERVICES, INC.
Subdivision Name
Pickens County Family Practice Center
Type
HRSA-Funded Health Center
340B ID
CH04245R
Entity Address
27340 Highway 86
Gordo, AL 35466
Grant Number
H80CS00094
Participating Start Date
7/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
Walgreens #21389
Pharmacy Address
Walgreens Central Fill #21389
3299 Tchulatech Dr
Suite 101
Memphis, TN 38118
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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