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WALGREEN CO.
CH04144M MOUNTAIN PEOPLES' HEALTH COUNCILS, INC.
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Covered Entity Details
Entity Name
MOUNTAIN PEOPLES' HEALTH COUNCILS, INC.
Subdivision Name
Burchfield Elementary School
Type
HRSA-Funded Health Center
340B ID
CH04144M
Entity Address
1112 W. 3rd. Ave
Oneida, TN 37841-6008
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 #17817
926 MAIN STREET
WARTBURG, TN 37887
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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