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WALGREEN CO.
CH04334AL CareConnect Health, Inc.
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Covered Entity Details
Entity Name
CareConnect Health, Inc.
Subdivision Name
CareConnect Pediatrics
Type
HRSA-Funded Health Center
340B ID
CH04334AL
Entity Address
110 E 13th AVENUE
CORDELE, GA 31015-4245
Grant Number
H80CS00393
Participating Start Date
9/25/2017
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS #15913
2200A E. OGLETHORPE BLVD.
ALBANY, GA 31705
Pharmacy Comments
Contract Details
Approval Date
10/10/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ajay Gehlot, CEO
(229) 273-8881
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/10/2017
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