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WALGREEN CO.
CH102480 COWLITZ FAMILY HEALTH CENTER
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Covered Entity Details
Entity Name
COWLITZ FAMILY HEALTH CENTER
Subdivision Name
COWLITZ FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH102480
Entity Address
1057 12th Ave
Longview, WA 98632-2509
Grant Number
H80CS00542
Participating Start Date
1/1/2004
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05816
9812 NE HIGHWAY 99
VANCOUVER, WA 98665
Pharmacy Comments
Contract Details
Approval Date
1/25/2012
Contract Begin Date
1/25/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DIAN COOPER, CEO
(360) 636-3892
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
2/12/2012
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