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WALGREEN CO.
CH063910 Community Health Development, Inc.
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Covered Entity Details
Entity Name
Community Health Development, Inc.
Subdivision Name
Our Health/Nuestro Centro de Salud
Type
HRSA-Funded Health Center
340B ID
CH063910
Entity Address
200 Evans St.
Uvalde, TX 78801-5142
Grant Number
H80CS00130
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16485
7302 LOUIS PASTEUR DR STE 104
SAN ANTONIO, TX 78229
Pharmacy Comments
Contract Details
Approval Date
4/1/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mayela Castanon, Chief Executive Officer
(830) 278-5604 Ext: 3100
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/1/2022
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