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WALGREEN EASTERN CO., INC.
CH02120A Betances Health Center
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Covered Entity Details
Entity Name
Betances Health Center
Subdivision Name
Betances Health Center - Bushwick Satellite
Type
HRSA-Funded Health Center
340B ID
CH02120A
Entity Address
1427 Broadway
Brooklyn, NY 11221-4202
Grant Number
H80CS00235
Participating Start Date
4/1/2018
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #11141
1366 BROADWAY
BROOKLYN, NY 11221
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
Julia Tsien, CEO
(212) 227-8401 Ext: 101
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/17/2018
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