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WALGREEN CO.
CHC28361-00 SUMMIT COMMUNITY CARE CLINIC
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Covered Entity Details
Entity Name
SUMMIT COMMUNITY CARE CLINIC
Subdivision Name
Summit Community Care Clinic, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC28361-00
Entity Address
360 Peak One Drive STE 100
Frisco, CO 80443
Grant Number
H80CS28361
Participating Start Date
10/1/2015
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11326
269 DILLON RIDGE RD
DILLON, CO 80435
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Helen Royal, CEO
(970) 668-6883
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/15/2020
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