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WALGREEN CO.
FQHCLA434H Mountain Area Health Education Center, INC.
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Covered Entity Details
Entity Name
Mountain Area Health Education Center, INC.
Subdivision Name
MAHEC Women's Care at Brevard
Type
Health Center Program Look-Alike
340B ID
FQHCLA434H
Entity Address
87 Medical Park Dr
Brevard, NC 28712
Grant Number
LALCS45788
Participating Start Date
7/1/2024
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #10274
382 ASHEVILLE HWY.
BREVARD, NC 28712
Pharmacy Comments
Contract Details
Approval Date
7/2/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William R Hathaway, CEO
(828) 257-4405
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/2/2024
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