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WALGREEN CO.
CH058660B COMMUNITY HEALTHNET, INC
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Covered Entity Details
Entity Name
COMMUNITY HEALTHNET, INC
Subdivision Name
Community HealthNet Miller
Type
HRSA-Funded Health Center
340B ID
CH058660B
Entity Address
1015 N Shelby St
Gary, IN 46403-1446
Grant Number
H80CS06665
Participating Start Date
1/1/2018
Last Recertification Date
2/5/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04946
580 INDIAN BOUNDARY RD
CHESTERTON, IN 46304
Pharmacy Comments
Contract Details
Approval Date
1/14/2022
Contract Begin Date
4/1/2022
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
1/14/2022
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