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WALGREEN CO.
CH051520F Access Community Health Centers, Inc
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Covered Entity Details
Entity Name
Access Community Health Centers, Inc
Subdivision Name
Dodgeville Dental Clinic
Type
HRSA-Funded Health Center
340B ID
CH051520F
Entity Address
103 East Fountain Street
Dodgeville, WI 53533-1749
Grant Number
H80CS00280
Participating Start Date
10/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05233
6601 MCKEE ROAD
MADISON, WI 53719
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ken Loving, CEO
(608) 443-5590
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2020
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