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WALGREEN CO.
CH04245W WHATLEY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
WHATLEY HEALTH SERVICES, INC.
Subdivision Name
Theodore Hendrix Dental Center
Type
HRSA-Funded Health Center
340B ID
CH04245W
Entity Address
2731 Martin L. King, Jr., Blvd.
Tuscaloosa, AL 35401
Grant Number
H80CS00094
Participating Start Date
4/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 02676
1728 HIGHWAY 45 NORTH
COLUMBUS, MS 39705
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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