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WALGREEN CO.
CH071170 COMMUNITY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CARE, INC.
Subdivision Name
Community Health Care, Inc. River Drive Clinic
Type
HRSA-Funded Health Center
340B ID
CH071170
Entity Address
500 W River Dr
Davenport, IA 52801
Grant Number
H80CS00670
Participating Start Date
12/1/1992
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03595
1720 W. KIMBERLY RD.
DAVENPORT, IA 52806
Pharmacy Comments
Contract Details
Approval Date
5/11/2012
Contract Begin Date
5/11/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Thomas Bowman, CEO
(563) 336-3112
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
5/10/2012
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