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WALGREEN CO.
CHC11422-01 MT. ENTERPRISE COMMUNITY HEALTH CLINIC
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Covered Entity Details
Entity Name
MT. ENTERPRISE COMMUNITY HEALTH CLINIC
Subdivision Name
RUSK COUNTY COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC11422-01
Entity Address
1115 HWY. 259 SOUTH
HENDERSON, TX 75654
Grant Number
H80CS12856
Participating Start Date
4/1/2010
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11212
2126 US HIGHWAY 79 SOUTH
HENDERSON, TX 75654-4409
Pharmacy Comments
Contract Details
Approval Date
11/9/2011
Contract Begin Date
11/9/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kenneth A. White, CHIEF EXECUTIVE OFFICER
(903) 822-3076
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
11/4/2011
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