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WALGREEN CO.
CH059700 Central Counties Health Centers, Inc.
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Covered Entity Details
Entity Name
Central Counties Health Centers, Inc.
Subdivision Name
Capitol Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH059700
Entity Address
2239 E Cook St
Springfield, IL 62703-1944
Grant Number
H80CS00533
Participating Start Date
4/1/2000
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS SPECIALTY PHARMACY #21190
1150 N 5TH ST
STE B
SPRINGFIELD, IL 62702
Pharmacy Comments
Contract Details
Approval Date
10/1/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brad Buzzard, COO
(217) 788-2325
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/1/2019
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