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Walgreens #21373
CHC11426-00 ELLIS COUNTY COALITION FOR HEALTH OPTIONS
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Covered Entity Details
Entity Name
ELLIS COUNTY COALITION FOR HEALTH OPTIONS
Subdivision Name
Hope Health
Type
HRSA-Funded Health Center
340B ID
CHC11426-00
Entity Address
572 Coleman Street
Waxahachie, TX 75165-3827
Grant Number
H80CS12874
Participating Start Date
7/1/2009
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
Walgreens #21373
Pharmacy Address
Walgreens Central Fill #21373
4100 Dale Earnhardt Way
STE 200
Northlake, TX 76262
Pharmacy Comments
Contract Details
Approval Date
10/14/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Barbara Clark, CEO
(972) 923-2440 Ext: 201
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/14/2021
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