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WALGREEN CO.
CH04522C RURAL HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
RURAL HEALTH SERVICES, INC.
Subdivision Name
Family Health Care
Type
HRSA-Funded Health Center
340B ID
CH04522C
Entity Address
120 Darlington Dr
Aiken, SC 29803-8542
Grant Number
H80CS00653
Participating Start Date
10/1/2015
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11849
2191 WHISKEY RD.
AIKEN, SC 29803
Pharmacy Comments
Contract Details
Approval Date
7/14/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Michael Offenbecker, Senior Analyst for Implementation
(847) 964-8132
Signed By Date
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