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WALGREEN CO.
CH031270 FAMILY HEALTH CENTERS OF BALTIMORE, INC.
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Covered Entity Details
Entity Name
FAMILY HEALTH CENTERS OF BALTIMORE, INC.
Subdivision Name
HEADQUARTERS
Type
HRSA-Funded Health Center
340B ID
CH031270
Entity Address
631 CHERRY HILL ROAD
BALTIMORE, MD 21225
Grant Number
H80CS00436
Participating Start Date
7/1/1996
Last Recertification Date
1/30/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #16191
2411 W. BELVEDERE AVENUE
SUITE 101
BALTIMORE, MD 21215
Pharmacy Comments
Contract Details
Approval Date
7/5/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Bernard Abbott, CEO
(410) 354-2000 Ext: 11272
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/5/2018
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