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WALGREEN CO.
CH061949AZ LONE STAR CIRCLE OF CARE
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Covered Entity Details
Entity Name
LONE STAR CIRCLE OF CARE
Subdivision Name
Lone Star Circle of Care at Harker Heights
Type
HRSA-Funded Health Center
340B ID
CH061949AZ
Entity Address
401 Cheetah Trl
Harker Heights, TX 76548
Grant Number
H80CS04289
Participating Start Date
7/1/2024
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #13444
120 WEST SLAUGHTER LANE
AUSTIN, TX 78748
Pharmacy Comments
Contract Details
Approval Date
7/12/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Corbin Ferrell, Director of Pharmacy Operations
(512) 686-0155 Ext: 3
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/12/2024
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