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WALGREEN CO.
CH04245AA WHATLEY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
WHATLEY HEALTH SERVICES, INC.
Subdivision Name
Oakman Student Health and Wellness Center
Type
HRSA-Funded Health Center
340B ID
CH04245AA
Entity Address
142 School Street
Oakman, AL 35579
Grant Number
H80CS00094
Participating Start Date
4/1/2017
Last Recertification Date
2/1/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09683
100 N AIRPORT RD
JASPER, AL 35504-7520
Pharmacy Comments
Contract Details
Approval Date
1/18/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/13/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Walgreens
Edwin Raff, DVP Contracting & Pricing
(847) 964-6198
Signed By Date
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