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WALGREEN CO.
CH062910 COMMUNITY HEALTH CENTER OF LUBBOCK, INC., THE
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER OF LUBBOCK, INC., THE
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH062910
Entity Address
1610 5th Street
LUBBOCK, TX 79401
Grant Number
H80CS00766
Participating Start Date
12/1/1992
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04821
3404 INDIANA AVENUE
LUBBOCK, TX 79413
Pharmacy Comments
Contract Details
Approval Date
10/11/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Sullivan, CEO
(806) 765-2611 Ext: 1110
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/11/2013
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