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WALGREEN CO.
CH080140 SUNRISE COMMUNITY HEALTH
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Covered Entity Details
Entity Name
SUNRISE COMMUNITY HEALTH
Subdivision Name
MONFORT FAMILY CLINIC
Type
HRSA-Funded Health Center
340B ID
CH080140
Entity Address
2930 11th Ave
Evans, CO 80620
Grant Number
H80CS00804
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07417
1480 MAIN STREET
WINDSOR, CO 80550-6019
Pharmacy Comments
Contract Details
Approval Date
7/6/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cathy Wolff, CFO
(970) 346-2546
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/6/2022
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