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WALGREEN CO.
CH05306AM Sixteenth Street Community Health Centers, Inc.
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Covered Entity Details
Entity Name
Sixteenth Street Community Health Centers, Inc.
Subdivision Name
Sixteenth Street Community Health Centers-St Anthony School-Elementary-1
Type
HRSA-Funded Health Center
340B ID
CH05306AM
Entity Address
1747 S 9th St
Milwaukee, WI 53204-3519
Grant Number
H80CS00593
Participating Start Date
7/1/2016
Last Recertification Date
2/16/2022
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 02911
6292 S 27TH STREET
MILWAUKEE, WI 53221
Pharmacy Comments
Contract Details
Approval Date
7/12/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Liz Claudio, Vice President, Operations
(414) 897-5165
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/12/2022
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