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WALGREEN CO.
CHC24142-00 HIGH COUNTRY COMMUNITY HEALTH
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Covered Entity Details
Entity Name
HIGH COUNTRY COMMUNITY HEALTH
Subdivision Name
High Country Community Health: Watauga Center
Type
HRSA-Funded Health Center
340B ID
CHC24142-00
Entity Address
935 State Farm Road
Boone, NC 28607
Grant Number
H80CS24142
Participating Start Date
1/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #15351
210 US HIGHWAY 70
CONNELLY SPRINGS, NC 28612
Pharmacy Comments
Contract Details
Approval Date
1/24/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/3/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
Alice Salthouse, CEO
(828) 448-0667
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/24/2017
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