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WALGREENS SPECIALTY PHARMACY, LLC
CH013970 RICHFORD HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
RICHFORD HEALTH CENTER, INC.
Subdivision Name
Richford Health Center
Type
HRSA-Funded Health Center
340B ID
CH013970
Entity Address
44 Main Street
Richford, VT 05476-1153
Grant Number
H80CS00261
Participating Start Date
1/1/2003
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15443
10530 JOHN W ELLIOTT DR STE 100
FRISCO, TX 75033
Pharmacy Comments
Contract Details
Approval Date
1/12/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
PAMELA PARSONS, CEO
(802) 255-5561 Ext: 561
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/12/2018
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