Contract Pharmacy Details

WALGREEN CO
CH045211C FIRST CHOICE PRIMARY CARE, INC.

Covered Entity Details

Entity Name

FIRST CHOICE PRIMARY CARE, INC.

Subdivision Name

Ingram Pye Health Center

Type

HRSA-Funded Health Center

340B ID

CH045211C

Entity Address

855 Anthony Rd
Macon, GA 31204-6266

Grant Number

H80CS08242

Participating Start Date

1/1/2016

Last Recertification Date

2/17/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO

Pharmacy Address

DBA: WALGREENS #10884
1081 GA HIGHWAY 96
WARNER ROBINS, GA 31088

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

Katherine McLeod, CEO
(478) 254-7204

Contract Pharmacy Representative

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

Signed By Date

7/9/2024

340B Drug Pricing Program Database