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WALGREEN CO.
CH046150 AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC.
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Covered Entity Details
Entity Name
AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC.
Subdivision Name
AARON E. HENRY - CLARKSDALE CLINIC
Type
HRSA-Funded Health Center
340B ID
CH046150
Entity Address
800 Ohio Ave
Clarksdale, MS 38614-7200
Grant Number
H80CS00480
Participating Start Date
7/1/1998
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03323
1501 GOODMAN RD WEST
HORN LAKE, MS 38637
Pharmacy Comments
Contract Details
Approval Date
1/9/2012
Contract Begin Date
1/9/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/21/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
AURELIA JONES-TAYLOR, CEO
(662) 624-4292 Ext: 1119
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/10/2012
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