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WALGREEN CO.
CH053763A 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
CH053763A
Entity Address
716 ADAIR AVE
ZANESVILLE, OH 43701-2836
Grant Number
H80CS08783
Participating Start Date
4/1/2008
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07392
1033 MILITARY ROAD
ZANESVILLE, OH 43701-1342
Pharmacy Comments
Contract Details
Approval Date
7/9/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAN J ATKINSON, CEO
(740) 891-9090
Contract Pharmacy Representative
walgreen co.
Patrick Andrews, Representative
(847) 964-8710
Signed By Date
7/9/2019
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