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WALGREENS MAIL SERVICE, INC.
CHC26803-00 Neighborhood Medical Center Inc.
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Covered Entity Details
Entity Name
Neighborhood Medical Center Inc.
Subdivision Name
Neighborhood Medical Center Lincoln Center
Type
HRSA-Funded Health Center
340B ID
CHC26803-00
Entity Address
438 W BREVARD ST
TALLAHASSEE, FL 32301-1004
Grant Number
H80CS26803
Participating Start Date
7/1/2014
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
WALGREENS MAIL SERVICE, INC.
Pharmacy Address
8350 S RIVER PARKWAY
TEMPE, AZ 85284
Pharmacy Comments
Contract Details
Approval Date
1/8/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/26/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Oretha Jones, Executive Director
(850) 513-3260
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/8/2015
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