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Walgreens #88008
CHC32521-10 COMMUNITY HEALTH CARE CENTER, INCORPORATED
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CARE CENTER, INCORPORATED
Subdivision Name
Community Health Care Center Inc
Type
HRSA-Funded Health Center
340B ID
CHC32521-10
Entity Address
601 1st Ave N
Great Falls, MT 59401-2510
Grant Number
H80CS32521
Participating Start Date
7/1/2019
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
Walgreens #88008
Pharmacy Address
5100 Lake Ter NE
Mount Vernon, IL 62864
Pharmacy Comments
Contract Details
Approval Date
5/7/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Agreement registered in error
Contacts
Covered Entity Signing Official
Trista Besich, Chief Executive Officer
(406) 761-9887
Contract Pharmacy Representative
Walgreens
Taylor Spiros, 340B Client Relationship Analyst
(847) 964-8689
Signed By Date
4/1/2019
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