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WALGREEN CO.
CH0530900 WESTERN WAYNE FAMILY HEALTH CENTERS
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Covered Entity Details
Entity Name
WESTERN WAYNE FAMILY HEALTH CENTERS
Subdivision Name
Western Wayne Family Health Centers
Type
HRSA-Funded Health Center
340B ID
CH0530900
Entity Address
2700 Hamlin Dr,
INKSTER, MI 48141
Grant Number
H80CS06663
Participating Start Date
10/1/2006
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS #16097
22525 WICK RD.
TAYLOR, MI 48180
Pharmacy Comments
Contract Details
Approval Date
4/13/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/7/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
LINDA ATKINS, CEO
(313) 561-5100 Ext: 210
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/13/2022
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