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WALGREENS SPECIALTY PHARMACY, LLC
CH04094BV BLUE RIDGE COMMUNITY HEALTH SERVICES INC
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Covered Entity Details
Entity Name
BLUE RIDGE COMMUNITY HEALTH SERVICES INC
Subdivision Name
Blue Ridge Health-Pisgah Forest Elementary School
Type
HRSA-Funded Health Center
340B ID
CH04094BV
Entity Address
1160 Ecusta Rd
Brevard, NC 28712-7579
Grant Number
H80CS00650
Participating Start Date
4/1/2023
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15443
10530 JOHN W ELLIOTT DR STE 100
FRISCO, TX 75033
Pharmacy Comments
Contract Details
Approval Date
7/5/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tammy Greenwell, CHIEF OPERATIONS OFFICER
(828) 233-2288
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/5/2024
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