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WALGREEN CO.
CH058660E Community Healthnet, Inc
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Covered Entity Details
Entity Name
Community Healthnet, Inc
Subdivision Name
Community HealthNet East
Type
HRSA-Funded Health Center
340B ID
CH058660E
Entity Address
3503 Martin Luther King Drive
Gary, IN 46409-1535
Grant Number
H80CS06665
Participating Start Date
1/1/2020
Last Recertification Date
2/5/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04668
1003 N MAIN STREET
CROWN POINT, IN 46307
Pharmacy Comments
Contract Details
Approval Date
10/13/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
JANET SEABROOK, CEO
(219) 484-2442
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/13/2021
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