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WALGREEN CO.
RWI28078 ROSEDALE HEALTH AND WELLNESS
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Covered Entity Details
Entity Name
ROSEDALE HEALTH AND WELLNESS
Subdivision Name
Type
Ryan White Part A
340B ID
RWI28078
Entity Address
103 COMMERCE CENTRE DRIVE
SUITE 103
HUNTERSVILLE, NC 28078
Grant Number
H89HA11434
Participating Start Date
7/1/2024
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10253
10 PITTS SCHOOL RD. NW
CONCORD, NC 28027
Pharmacy Comments
02/15/2012 updated addr (was 10 PITTS SCHOOL RD NW)
Contract Details
Approval Date
1/13/2012
Contract Begin Date
1/13/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/8/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Dale Jonathan Pierce, 340B Program Director
(704) 995-3214
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
12/30/2011
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