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WALGREEN CO.
CH052730 OPEN CITIES HEALTH CENTER
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Covered Entity Details
Entity Name
OPEN CITIES HEALTH CENTER
Subdivision Name
OPEN CITIES HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH052730
Entity Address
409 Dunlap St N
Saint Paul, MN 55104-4201
Grant Number
H80CS00112
Participating Start Date
10/1/2001
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS SPECIALTY PHARMACY #11916
1221 W LAKE ST, STE 200
MINNEAPOLIS, MN 55408
Pharmacy Comments
Contract Details
Approval Date
10/29/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Platten, CEO
(651) 290-9245
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/29/2016
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