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WALGREEN CO.
CH0452110 FIRST CHOICE PRIMARY CARE , INC
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Covered Entity Details
Entity Name
FIRST CHOICE PRIMARY CARE , INC
Subdivision Name
FIRST CHOICE PRIMARY CARE INC
Type
HRSA-Funded Health Center
340B ID
CH0452110
Entity Address
770 WALNUT STREET
MACON, GA 31201
Grant Number
H80CS08242
Participating Start Date
10/1/2007
Last Recertification Date
2/2/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06561
1880 WATSON BLVD
WARNER ROBINS, GA 31093-3612
Pharmacy Comments
Contract Details
Approval Date
9/27/2011
Contract Begin Date
9/27/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Katherine McLoud, CEO
(478) 787-4266
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/4/2011
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