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WALGREEN CO.
CHC25682-00 Christian Community Health Services
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Covered Entity Details
Entity Name
Christian Community Health Services
Subdivision Name
Crossroad Health Center
Type
HRSA-Funded Health Center
340B ID
CHC25682-00
Entity Address
5 E Liberty St
Cincinnati, OH 45202-8202
Grant Number
H80CS25682
Participating Start Date
4/1/2013
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07470
1032 HARRISON AVE
HARRISON, OH 45030-1522
Pharmacy Comments
Contract Details
Approval Date
7/13/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Joseph Berrens, CEO
(513) 707-5755
Contract Pharmacy Representative
Walgreen Co.
Karl Meehan, VP, Health Systems Programs
(847) 315-2663
Signed By Date
7/13/2021
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