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WALGREEN EASTERN CO., INC.
CH031839C Esperanza Health Center, Inc.
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Covered Entity Details
Entity Name
Esperanza Health Center, Inc.
Subdivision Name
Esperanza Health Center
Type
HRSA-Funded Health Center
340B ID
CH031839C
Entity Address
4417 N 6th St
Philadelphia, PA 19140-2319
Grant Number
H80CS06644
Participating Start Date
10/1/2011
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS
7201 CASTOR AVE.
PHILADELPHIA, PA 19149
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/23/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
Juan Perez, COO
(215) 807-8616
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/15/2020
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