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WALGREEN CO.
CHC24150-00 PEOPLE'S COMMUNITY CLINIC
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Covered Entity Details
Entity Name
PEOPLE'S COMMUNITY CLINIC
Subdivision Name
People's Community Clinic
Type
HRSA-Funded Health Center
340B ID
CHC24150-00
Entity Address
2909 North IH 35
Austin, TX 78722
Grant Number
H80CS24150
Participating Start Date
10/1/2012
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12517
5781 KYLE PKWY.
KYLE, TX 78640
Pharmacy Comments
Contract Details
Approval Date
1/3/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/11/2016
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Timothy Sayles, CFO
(512) 708-3197
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/3/2014
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