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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
28727 OREGON ROAD
PERRYSBURG, OH 43551
Pharmacy Comments
ATTN: C II manager
Contract Details
Approval Date
12/17/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/10/2015
Business decision by covered entity and/or pharmacy
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
10/15/2012
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