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WALGREEN CO.
CH050580 NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC.
Subdivision Name
NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES
Type
HRSA-Funded Health Center
340B ID
CH050580
Entity Address
8300 Hough Ave
Cleveland, OH 44103-4247
Grant Number
H80CS00191
Participating Start Date
12/1/1992
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #21259
14501 EUCLID AVE
EAST CLEVELAND, OH 44112-3426
Pharmacy Comments
Contract Details
Approval Date
8/17/2012
Contract Begin Date
8/17/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Willie F. Austin, President & CEO
(216) 231-7700 Ext: 1112
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
8/10/2012
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