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WALGREEN CO.
CH03015N TOTAL HEALTH CARE, INC.
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Covered Entity Details
Entity Name
TOTAL HEALTH CARE, INC.
Subdivision Name
Mt. Royal Health Center
Type
HRSA-Funded Health Center
340B ID
CH03015N
Entity Address
922-924 W. NORTH AVE
BALTIMORE, MD 21217-3940
Grant Number
H80CS00068
Participating Start Date
1/1/2016
Last Recertification Date
2/6/2023
Entity Termination Date
7/1/2023
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #16188
2000 W. BALTIMORE STREET
BALTIMORE, MD 21223
Pharmacy Comments
Contract Details
Approval Date
12/2/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Faye Royale-Larkins, CEO
(410) 728-4090
Contract Pharmacy Representative
Nohemi Schee, 340b Operations Analyst
(847) 964-4037
Signed By Date
12/2/2015
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