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WALGREEN CO.
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
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 11537
414 S. MAGNOLIA DRIVE
TALLAHASSEE, FL 32301
Pharmacy Comments
Contract Details
Approval Date
7/5/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeanne S Freeman, CEO
(850) 577-1558
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/5/2017
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