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WALGREEN CO
CH041660 Community Health Centers, Inc.
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Covered Entity Details
Entity Name
Community Health Centers, Inc.
Subdivision Name
COMMUNITY HEALTH CENTERS, INC.
Type
HRSA-Funded Health Center
340B ID
CH041660
Entity Address
110 S Woodland St
Winter Garden, FL 34787-3546
Grant Number
H80CS00809
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #12105
680 E BURLEIGH BLVD
TAVARES, FL 32778
Pharmacy Comments
Contract Details
Approval Date
7/7/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARGARET BRENNAN, PRESIDENT/CEO
(407) 905-8827 Ext: 1060
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/7/2017
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