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WALGREEN CO.
CH057250 PRIMARY CONNECTION HEALTHCARE, INC
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Covered Entity Details
Entity Name
PRIMARY CONNECTION HEALTHCARE, INC
Subdivision Name
BRIDGE COMMUNITY HEALTH CLINIC
Type
HRSA-Funded Health Center
340B ID
CH057250
Entity Address
1810 N 2nd ST
Wausau, WI 54403-3492
Grant Number
H80CS00517
Participating Start Date
7/1/1999
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06153
2204 NEVA ROAD
ANTIGO, WI 54409
Pharmacy Comments
Contract Details
Approval Date
4/5/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Laura Scudiere, Executive Director
(715) 848-4884
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/5/2013
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