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WALGREENS MAIL SERVICE, INC.
CH053763J MUSKINGUM VALLEY HEALTH CENTERS
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Covered Entity Details
Entity Name
MUSKINGUM VALLEY HEALTH CENTERS
Subdivision Name
Muskingum Valley Health Centers
Type
HRSA-Funded Health Center
340B ID
CH053763J
Entity Address
440 Browns Ln
Coshocton, OH 43812-2044
Grant Number
H80CS08783
Participating Start Date
7/1/2019
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
WALGREENS MAIL SERVICE, INC.
Pharmacy Address
8350 S RIVER PARKWAY
TEMPE, AZ 85284
Pharmacy Comments
Contract Details
Approval Date
4/12/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rebecca F Carr, Chief Financial Officer
(740) 891-9094
Contract Pharmacy Representative
walgreen co.
Patrick Andrews, Representative
(847) 964-8710
Signed By Date
4/12/2019
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