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WALGREEN CO.
CHC35351-00 WELL CARE COMMUNITY HEALTH, INC.
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Covered Entity Details
Entity Name
WELL CARE COMMUNITY HEALTH, INC.
Subdivision Name
Well Care Community Health, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC35351-00
Entity Address
203 E Main St
Richmond, IN 47374-4208
Grant Number
H80CS35351
Participating Start Date
10/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS SPECIALTY PHARMACY #16317
335 MASSACHUSETTS AVENUE
INDIANAPOLIS, IN 46204
Pharmacy Comments
Contract Details
Approval Date
10/14/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Eric Coulter, Chief Executive Officer
(765) 973-9369
Contract Pharmacy Representative
Walgreen Co
Katrinka P Buckley, 340B Client Relationship Analyst
(847) 315-1439
Signed By Date
10/14/2020
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