Contract Pharmacy Details

WALGREEN CO.
CH040940 BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.

Covered Entity Details

Entity Name

BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.

Subdivision Name

BLUE RIDGE HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH040940

Entity Address

2579 CHIMNEY ROCK RD
HENDERSONVILLE, NC 28792

Grant Number

H80CS00650

Participating Start Date

7/1/1995

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

RITE AID #11564
640 SPARTANBURG HWY
HENDERSONVILLE, NC 28792

Pharmacy Comments

Contract Details

Approval Date

2/2/2018

Contract Begin Date

2/5/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/6/2018
Pharmacy closed

Contacts

Covered Entity Signing Official

Tammy Greenwell, CHIEF OPERATIONS OFFICER
(828) 233-2288

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

2/2/2018

340B Drug Pricing Program Database