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WALGREEN CO
CHC26511-01 UPPER GREAT LAKES FAMILY HEALTH CENTER
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Covered Entity Details
Entity Name
UPPER GREAT LAKES FAMILY HEALTH CENTER
Subdivision Name
Hancock Family Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26511-01
Entity Address
500 Campus Dr.
STE 2-3-5
HANCOCK, MI 49930
Grant Number
H80CS26511
Participating Start Date
4/1/2014
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #11954
802 E CLOVERLAND DR
IRONWOOD, MI 49938-1502
Pharmacy Comments
Contract Details
Approval Date
1/4/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donald A. Simila, CEO
(906) 481-8571
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/4/2021
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