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WALGREEN CO.
CH0513810 REGENTS OF THE UNIVERSITY OF MINNESOTA
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Covered Entity Details
Entity Name
REGENTS OF THE UNIVERSITY OF MINNESOTA
Subdivision Name
COMMUNITY-UNIVERSITY HEALTH CARE CENTER
Type
HRSA-Funded Health Center
340B ID
CH0513810
Entity Address
2001 Bloomington Ave
Minneapolis, MN 55404-3074
Grant Number
H80CS00241
Participating Start Date
10/1/2001
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09511
7845 PORTLAND AVE S
BLOOMINGTON, MN 55420-1312
Pharmacy Comments
Contract Details
Approval Date
4/7/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Colleen McDonald Diouf, CEO
(612) 301-0698
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/7/2016
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