Contract Pharmacy Details

WALGREEN CO.
CHC24156-00 Rutherford County Primary Care, Inc.

Covered Entity Details

Entity Name

Rutherford County Primary Care, Inc.

Subdivision Name

Primary Care & Hope Clinic

Type

HRSA-Funded Health Center

340B ID

CHC24156-00

Entity Address

1453 Hope Way
Murfreesboro, TN 37129-3140

Grant Number

H80CS24156

Participating Start Date

10/1/2012

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 06910
3010 S CHURCH STREET
MURFREESBORO, TN 37127

Pharmacy Comments

Contract Details

Approval Date

3/8/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Shane Smith, CFO
(615) 893-9390 Ext: 202

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

1/9/2013

340B Drug Pricing Program Database