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WALGREEN CO
CH048070 COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.
Subdivision Name
CHCS OF WESTERN KENTUCKY, INC.
Type
HRSA-Funded Health Center
340B ID
CH048070
Entity Address
480 HOPKINSVILLE ST,
GREENVILLE, KY 42345-1124
Grant Number
H80CS00562
Participating Start Date
10/1/1997
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #11168
485 W. 4TH ST.
RUSSELLVILLE, KY 42276-1425
Pharmacy Comments
Contract Details
Approval Date
1/17/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Roger Arbuckle, CEO
(270) 338-5777
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/17/2017
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