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WALGREEN CO.
CH048120 KINSTON COMMUNITY HEALTH CENTER, INCORPORATED
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Covered Entity Details
Entity Name
KINSTON COMMUNITY HEALTH CENTER, INCORPORATED
Subdivision Name
KINSTON COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH048120
Entity Address
324 North Queen Street
Kinston, NC 28501-4932
Grant Number
H80CS00104
Participating Start Date
1/1/1998
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA:WALGREENS #15511
4003 W.VERNON AVE.
KINSTON, NC 28504
Pharmacy Comments
Contract Details
Approval Date
7/10/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Johnson, CEO
(252) 522-4350 Ext: 221
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/10/2015
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