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WALGREEN CO.
CH04094AF 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-Fairview School
Type
HRSA-Funded Health Center
340B ID
CH04094AF
Entity Address
251 Big Orange Way
Sylva, NC 28779-5601
Grant Number
H80CS00650
Participating Start Date
4/1/2020
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #19652
244 NEW CLYDE HWY
CANTON, NC 28716
Pharmacy Comments
Contract Details
Approval Date
7/5/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/3/2025
Duplicate contract pharmacy record
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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