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WALGREEN LOUISIANA CO., INC.
CH061335AC ST. CHARLES COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
ST. CHARLES COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Plaquemine High School SBHC
Type
HRSA-Funded Health Center
340B ID
CH061335AC
Entity Address
59595 Belleview Rd
Plaquemine, LA 70764
Grant Number
H80CS00867
Participating Start Date
7/1/2017
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
WALGREEN LOUISIANA CO., INC.
Pharmacy Address
DBA: WALGREENS #13925
5298 HIGHLAND RD.
BATON ROUGE, LA 70808-6530
Pharmacy Comments
Contract Details
Approval Date
5/24/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
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