Contract Pharmacy Details

WALGREEN CO.
CHC24156-00 Rutherford County Primary Care, Inc.

Covered Entity Details

Entity Name

Rutherford County Primary Care, Inc.

Subdivision Name

Primary Care & Hope Clinic

Type

HRSA-Funded Health Center

340B ID

CHC24156-00

Entity Address

1453 Hope Way
Murfreesboro, TN 37129-3140

Grant Number

H80CS24156

Participating Start Date

10/1/2012

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 09945
826 N MAIN ST
SHELBYVILLE, TN 37160-2845

Pharmacy Comments

Contract Details

Approval Date

4/2/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Kevin Clement, Director of Pharmacy
(615) 893-9390 Ext: 181

Contract Pharmacy Representative

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

Signed By Date

4/2/2018

340B Drug Pricing Program Database