Contract Pharmacy Details

WALGREEN CO.
CH040760 G.A. CARMICHAEL FAMILY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

G.A. CARMICHAEL FAMILY HEALTH CENTER, INC.

Subdivision Name

G. A. CARMICHAEL FAMILY HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH040760

Entity Address

1668 W Peace St
Canton, MS 39046-5332

Grant Number

H80CS00484

Participating Start Date

10/1/2013

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #11111
1100 HWY 51
MADISON, MS 39110

Pharmacy Comments

01/31/2012 added "North" to address line 1

Contract Details

Approval Date

7/2/2024

Contract Begin Date

10/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

James L. Coleman Jr., CEO
(601) 859-5213 Ext: 2291

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

7/2/2024

340B Drug Pricing Program Database