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WALGREEN CO
CH0417140 Christ Community Health Services, Inc.
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Covered Entity Details
Entity Name
Christ Community Health Services, Inc.
Subdivision Name
THIRD STREET HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH0417140
Entity Address
3362 S 3rd St
MEMPHIS, TN 38109-2944
Grant Number
H80CS00881
Participating Start Date
7/1/2003
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA WALGREENS
5100 LAKE TERRACE NE
MOUNT VERNON, IL 62864
Pharmacy Comments
Contract Details
Approval Date
1/11/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/24/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Burt Waller, CEO
(901) 260-8550
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/2/2013
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