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WALGREEN CO.
CH05166D IRONTON AND LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
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Covered Entity Details
Entity Name
IRONTON AND LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
Subdivision Name
Ironton Health Care Campus
Type
HRSA-Funded Health Center
340B ID
CH05166D
Entity Address
1408 Campbell Dr
Ironton, OH 45638-2301
Grant Number
H80CS00471
Participating Start Date
4/1/2012
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11980
111 4TH AVE.
HUNTINGTON, WV 25701
Pharmacy Comments
Contract Details
Approval Date
1/15/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/14/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Kelly Adkins, Chief Financial Officer
(740) 532-3534 Ext: 12004
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2018
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