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WALGREEN EASTERN CO., INC.
CH021270 COMMUNITY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CARE, INC.
Subdivision Name
CompleteCare Adult & Specialty Medical Professionals
Type
HRSA-Funded Health Center
340B ID
CH021270
Entity Address
30 N Pearl St
BRIDGETON, NJ 08302
Grant Number
H80CS00164
Participating Start Date
1/1/2001
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #12048
221 DELSEA DR N
GLASSBORO, NJ 08028
Pharmacy Comments
01/15/2014 - Pharmacy name/address correction, changed in error on 3/28/2013.
Contract Details
Approval Date
9/27/2011
Contract Begin Date
9/27/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gilbert Walter, CEO
(856) 391-1127
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
9/8/2011
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