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WALGREEN CO.
CHC26577-00 TALBERT HOUSE HEALTH CENTER
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Covered Entity Details
Entity Name
TALBERT HOUSE HEALTH CENTER
Subdivision Name
Centerpoint Health Medical Franklin
Type
HRSA-Funded Health Center
340B ID
CHC26577-00
Entity Address
333 Conover Dr
B
Franklin, OH 45005
Grant Number
H80CS26577
Participating Start Date
10/1/2015
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04975
1542 WAYNE AVE.
DAYTON, OH 45410
Pharmacy Comments
Contract Details
Approval Date
7/15/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dolores Glenn, CEO
(513) 318-1188
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/15/2022
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