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WALGREEN EASTERN CO., INC.
CH033930 CHESPENN HEALTH SERVICES
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Covered Entity Details
Entity Name
CHESPENN HEALTH SERVICES
Subdivision Name
CHESPENN HEALTH SERVICES
Type
HRSA-Funded Health Center
340B ID
CH033930
Entity Address
1510 Chester Pike, Suite 200
Eddystone, PA 19022
Grant Number
H80CS00738
Participating Start Date
1/1/2003
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #16198
1 MEDICAL CENTER BOULEVARD
SUITE 107
CHESTER, PA 19013
Pharmacy Comments
Contract Details
Approval Date
10/6/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/18/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Michael G. Lucas, CEO and President
(610) 485-3800 Ext: 630
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/6/2015
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