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WALGREEN CO.
CH04144N MOUNTAIN PEOPLES' HEALTH COUNCILS, INC.
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Covered Entity Details
Entity Name
MOUNTAIN PEOPLES' HEALTH COUNCILS, INC.
Subdivision Name
Scott High School
Type
HRSA-Funded Health Center
340B ID
CH04144N
Entity Address
400 Scott High Dr.
Huntsville, TN 37756-4150
Grant Number
H80CS00467
Participating Start Date
1/1/2025
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #10959
515 E. CENTRAL AVE.
JAMESTOWN, TN 38556-4105
Pharmacy Comments
Contract Details
Approval Date
1/14/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JAMES C. LOVETT, CEO
(423) 286-4141 Ext: 30
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2025
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