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WALGREENS SPECIALTY PHARMACY, LLC
CHC24156-00 Rutherford County Primary Care, Inc.
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Covered Entity Details
Entity Name
Rutherford County Primary Care, Inc.
Subdivision Name
Primary Care & Hope Clinic
Type
HRSA-Funded Health Center
340B ID
CHC24156-00
Entity Address
1453 Hope Way
Murfreesboro, TN 37129-3140
Grant Number
H80CS24156
Participating Start Date
10/1/2012
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188
Pharmacy Comments
Contract Details
Approval Date
4/8/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shane Smith, CFO
(615) 893-9390 Ext: 202
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/8/2025
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