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WALGREEN CO.
STD37604 CHATTANOOGA C.A.R.E.S. DBA CEMPA COMMUNITY CARE
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Covered Entity Details
Entity Name
CHATTANOOGA C.A.R.E.S. DBA CEMPA COMMUNITY CARE
Subdivision Name
ETSU
Type
Sexually Transmitted Diseases
340B ID
STD37604
Entity Address
615 N. State of Franklin Rd
Johnson City, TN 37604
Grant Number
NU65PS923764
Participating Start Date
7/1/2017
Last Recertification Date
5/22/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12921
3625 BATTLEFIELD PKWY
FORT OGLETHORPE, GA 30742
Pharmacy Comments
Contract Details
Approval Date
7/6/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/15/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Shannon Stephenson, CEO
(423) 648-9911
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/6/2017
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