Contract Pharmacy Details

WALGREEN CO.
CH0452110 FIRST CHOICE PRIMARY CARE , INC

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 # 06780
2495 PIO NONO AVENUE
MACON, GA 31206-2829

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

11/8/2019
Pharmacy closed

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

340B Drug Pricing Program Database