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WALGREEN CO.
CH0438590 NEIGHBORHOOD IMPROVEMENT PROJECT, INC.
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Covered Entity Details
Entity Name
NEIGHBORHOOD IMPROVEMENT PROJECT, INC.
Subdivision Name
Medical Associates Plus @ Belle Terrace
Type
HRSA-Funded Health Center
340B ID
CH0438590
Entity Address
2467 Golden Camp Rd
Augusta, GA 30906-5515
Grant Number
H80CS08751
Participating Start Date
10/14/2008
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06632
3204 PEACH ORCHARD ROAD
AUGUSTA, GA 30906-4862
Pharmacy Comments
Contract Details
Approval Date
2/1/2012
Contract Begin Date
2/1/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Janice Sherman, Chief Executive Officer
(706) 790-4440 Ext: 105
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/31/2012
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