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WALGREEN CO.
CH05748C RIGGS COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
RIGGS COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Boone County Community Clinic
Type
HRSA-Funded Health Center
340B ID
CH05748C
Entity Address
416 W Camp St
Lebanon, IN 46052-1799
Grant Number
H80CS00565
Participating Start Date
7/1/2019
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 01444
1130 N LEBANON ST
LEBANON, IN 46052-1759
Pharmacy Comments
Contract Details
Approval Date
4/5/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/19/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Donald Phillips, COO
(765) 429-2783
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/1/2019
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