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WALGREEN CO.
CHC08767-03 UNIVERSITY COMMUNITY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
UNIVERSITY COMMUNITY HEALTH SERVICES, INC.
Subdivision Name
VINE HILL COMMUNITY CLINIC
Type
HRSA-Funded Health Center
340B ID
CHC08767-03
Entity Address
601 Benton Ave
Nashville, TN 37204-2303
Grant Number
H80CS08767
Participating Start Date
10/1/2016
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #18085
1104 ROSA L PARKS BLVD
NASHVILLE, TN 37208
Pharmacy Comments
Contract Details
Approval Date
4/4/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Suzanne Hurley, Co-CEO
(615) 932-7628
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/4/2018
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