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WALGREEN CO.
CHC28961-00 SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC.
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Covered Entity Details
Entity Name
SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC.
Subdivision Name
Shawnee Christian Healthcare Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC28961-00
Entity Address
234 Amy Ave.
Louisville, KY 40212-2522
Grant Number
H80CS28961
Participating Start Date
4/1/2016
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16372
532 S 4TH ST UNIT 532
LOUISVILLE, KY 40202
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
Ernest J Wardlaw, CEO
(502) 632-1710
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/6/2022
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