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WALGREEN CO.
CH045220 RURAL HEALTH SERVICES INC
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Covered Entity Details
Entity Name
RURAL HEALTH SERVICES INC
Subdivision Name
MARGARET J. WESTON HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH045220
Entity Address
4645 AUGUSTA ROAD
Beech Island, SC 29842
Grant Number
H80CS00653
Participating Start Date
7/1/1996
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11432
4380 JEFFERSON DAVIS HWY.
BEECH ISLAND, SC 29842
Pharmacy Comments
Contract Details
Approval Date
4/7/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carolyn Emanuel-McClain, CEO
(803) 380-7012
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/7/2015
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