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WALGREEN CO.
FQHCLA302 Prohealth Rural Health Services, Inc
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Covered Entity Details
Entity Name
Prohealth Rural Health Services, Inc
Subdivision Name
*
Type
Health Center Program Look-Alike
340B ID
FQHCLA302
Entity Address
1325 W. Main Street
Franklin, TN 37064-3786
Grant Number
LALCS00061
Participating Start Date
10/1/2012
Last Recertification Date
2/9/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10657
1081 MURFREESBORO PIKE
NASHVILLE, TN 37217
Pharmacy Comments
Contract Details
Approval Date
1/11/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Ray White, President/CEO
(615) 866-6163
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/2/2013
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