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WALGREEN CO.
CH045240 NEW HANOVER COMMUNITY HEALTH CENTER INC
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Covered Entity Details
Entity Name
NEW HANOVER COMMUNITY HEALTH CENTER INC
Subdivision Name
MedNorth Health Center
Type
HRSA-Funded Health Center
340B ID
CH045240
Entity Address
925 N 4th St
Wilmington, NC 28401-3450
Grant Number
H80CS00572
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12853
5900 CAROLINA BEACH RD.
WILMINGTON, NC 28412
Pharmacy Comments
Contract Details
Approval Date
1/12/2012
Contract Begin Date
1/12/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carolyn Allison, Acting CEO
(910) 202-8640
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/29/2012
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