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WALGREEN CO
CH093660 COMMUNITY HEALTH SYSTEMS, INC
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Covered Entity Details
Entity Name
COMMUNITY HEALTH SYSTEMS, INC
Subdivision Name
Bloomington Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH093660
Entity Address
18601 VALLEY BLVD
BLOOMINGTON, CA 92316-1831
Grant Number
H80CS00222
Participating Start Date
7/1/2000
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #10368
2261 W ESPLANADE AVE
SAN JACINTO, CA 92582
Pharmacy Comments
Contract Details
Approval Date
3/18/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lori N. Holeman, Chief Executive Officer
(951) 571-2300
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
3/18/2022
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