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WALGREEN CO.
CHC28361-00 SUMMIT COMMUNITY CARE CLINIC
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Covered Entity Details
Entity Name
SUMMIT COMMUNITY CARE CLINIC
Subdivision Name
Summit Community Care Clinic, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC28361-00
Entity Address
360 Peak One Drive STE 100
Frisco, CO 80443
Grant Number
H80CS28361
Participating Start Date
10/1/2015
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #15101
15 SUN ROAD
P.O. BOX 8438
AVON, CO 81620
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Helen Royal, CEO
(970) 668-6883
Contract Pharmacy Representative
Walgreens
Brenda Motley, Operations Analyst
(847) 964-7033
Signed By Date
10/15/2021
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