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WALGREEN CO.
CH059030 COMMUNITY HEALTH SYSTEMS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH SYSTEMS, INC.
Subdivision Name
Beloit Area Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH059030
Entity Address
74 Eclipse Ctr
BELOIT, WI 53511-3550
Grant Number
H80CS00676
Participating Start Date
1/1/1999
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS SPECIALTY PHARMACY #20582
432 S. PARK ST.
MADISON, WI 53715
Pharmacy Comments
Contract Details
Approval Date
10/9/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Caryn Davis, Director of Finance
(608) 299-3302
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/9/2019
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