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WALGREEN CO.
CH072100 BETTY JEAN KERR - PEOPLE'S HEALTH CENTERS
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Covered Entity Details
Entity Name
BETTY JEAN KERR - PEOPLE'S HEALTH CENTERS
Subdivision Name
PEOPLE'S HEALTH CENTERS, INC.
Type
HRSA-Funded Health Center
340B ID
CH072100
Entity Address
5701 Delmar Blvd
Saint Louis, MO 63112-2617
Grant Number
H80CS00133
Participating Start Date
7/1/1996
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05748
1490 MEXICO LOOP RD EAST
OFALLON, MO 63366
Pharmacy Comments
Contract Details
Approval Date
7/10/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Sanford, Executive Vice President
(314) 367-7848 Ext: 1209
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/10/2024
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