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WALGREEN CO.
CH057030 CENTER FOR FAMILY HEALTH
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Covered Entity Details
Entity Name
CENTER FOR FAMILY HEALTH
Subdivision Name
CFH - Downtown
Type
HRSA-Funded Health Center
340B ID
CH057030
Entity Address
505 N.Jackson St.
Jackson, MI 49201
Grant Number
H80CS00772
Participating Start Date
7/1/2004
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09133
1314 N WEST AVE
JACKSON, MI 49202
Pharmacy Comments
Contract Details
Approval Date
10/13/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MOLLY KASER, CEO
(517) 748-5500
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/13/2014
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