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WALGREEN CO.
CH050920 NEIGHBORHOOD HEALTH CARE INCORPORATED
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Covered Entity Details
Entity Name
NEIGHBORHOOD HEALTH CARE INCORPORATED
Subdivision Name
Ridge Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH050920
Entity Address
3569 Ridge Rd
Cleveland, OH 44102-5443
Grant Number
H80CS00665
Participating Start Date
10/1/1997
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #09407
14815 MADISON AVE.
LAKEWOOD, OH 44107-4009
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JEAN POLSTER, PRESIDENT, CEO
(216) 281-0872 Ext: 1261
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/17/2018
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