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WALGREEN CO.
CH058660D COMMUNITY HEALTHNET, INC
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Covered Entity Details
Entity Name
COMMUNITY HEALTHNET, INC
Subdivision Name
Community HealthNet OSC
Type
HRSA-Funded Health Center
340B ID
CH058660D
Entity Address
5927 Columbia Ave
Hammond, IN 46320-2611
Grant Number
H80CS06665
Participating Start Date
1/1/2018
Last Recertification Date
2/5/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06733
3500 CENTRAL AVENUE
LAKE STATION, IN 46405-2271
Pharmacy Comments
Contract Details
Approval Date
4/12/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
JANET SEABROOK, CEO
(219) 484-2442
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/12/2019
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