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WALGREEN EASTERN CO., INC.
CH02016J SYRACUSE COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
SYRACUSE COMMUNITY HEALTH CENTER, INC.
Subdivision Name
SCHC SOUTH SITE
Type
HRSA-Funded Health Center
340B ID
CH02016J
Entity Address
1701 SOUTH AVE
SYRACUSE, NY 13207-2004
Grant Number
H80CS00434
Participating Start Date
7/1/2017
Last Recertification Date
3/1/2021
Entity Termination Date
1/1/2022
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS
2329 JAMES ST.
SYRACUSE, NY 13206
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Derrick Murry, Chief Operating Officer
(315) 476-7921 Ext: 5942
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/15/2019
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