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WALGREEN CO
CHC26512-01 PREFERRED FAMILY HEALTHCARE, INCORPORATED
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Covered Entity Details
Entity Name
PREFERRED FAMILY HEALTHCARE, INCORPORATED
Subdivision Name
Preferred Family Healthcare dba Clarity Healthcare
Type
HRSA-Funded Health Center
340B ID
CHC26512-01
Entity Address
141 COMMUNICATION DR
HANNIBAL, MO 63401-3670
Grant Number
H80CS26512
Participating Start Date
10/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #7811
100 JASON DR.
TROY, MO 63379
Pharmacy Comments
Contract Details
Approval Date
4/4/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
amanda wosman, VP CHC
(573) 231-2384
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/4/2025
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