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WALGREEN LOUISIANA CO., INC.
CH0618980 Rkm Primary Care
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Covered Entity Details
Entity Name
Rkm Primary Care
Subdivision Name
RKM Primary Care
Type
HRSA-Funded Health Center
340B ID
CH0618980
Entity Address
11990 JACKSON STREET
CLINTON, LA 70722
Grant Number
H80CS06459
Participating Start Date
9/9/2005
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN LOUISIANA CO., INC.
Pharmacy Address
DBA: WALGREENS # 06027
1910 W THOMAS
HAMMOND, LA 70401-2947
Pharmacy Comments
Contract Details
Approval Date
7/9/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christi C. Hunt, CEO
(225) 683-5292 Ext: 10203
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/9/2024
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