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WALGREEN EASTERN CO., INC.
CH01081G Southwest Community Health Center, Inc.
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Covered Entity Details
Entity Name
Southwest Community Health Center, Inc.
Subdivision Name
OPERATION HOPE
Type
HRSA-Funded Health Center
340B ID
CH01081G
Entity Address
50 Nichols St
Fairfield, CT 06824
Grant Number
H80CS00613
Participating Start Date
4/11/2019
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #10058
235 MAIN ST
NORWALK, CT 06851
Pharmacy Comments
Contract Details
Approval Date
1/11/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/13/2022
Agreement registered in error
Contacts
Covered Entity Signing Official
Mollie Melbourne, President/CEO
(203) 332-3501
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/11/2022
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