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WALGREEN CO.
CH0452890 ESCAMBIA COMMUNITY CLINICS INC
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Covered Entity Details
Entity Name
ESCAMBIA COMMUNITY CLINICS INC
Subdivision Name
Escambia Community Clinics, Inc. Corporate Offices
Type
HRSA-Funded Health Center
340B ID
CH0452890
Entity Address
2315 West Jackson Street
PENSACOLA, FL 32505-1736
Grant Number
H80CS08755
Participating Start Date
1/1/2009
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09917
5995 MOBILE HIGHWAY
PENSACOLA, FL 32526
Pharmacy Comments
Contract Details
Approval Date
9/27/2012
Contract Begin Date
9/27/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Don R. Turner, Chief Executive Officer
(850) 472-0053
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
9/25/2012
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