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WALGREEN ARIZONA DRUG CO.
CHC28967-01 Hope Christian Health Center Corp
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Covered Entity Details
Entity Name
Hope Christian Health Center Corp
Subdivision Name
Hope Christian Health Center MLK
Type
HRSA-Funded Health Center
340B ID
CHC28967-01
Entity Address
4040 N MLK Blvd Suite A
North Las Vegas, NV 89032
Grant Number
H80CS28967
Participating Start Date
10/1/2018
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN ARIZONA DRUG CO.
Pharmacy Address
WALGREENS CENTRAL FILL #21372
120 N 83RD AVE
STE 200
TOLLESON, AZ 85353
Pharmacy Comments
Contract Details
Approval Date
10/7/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steven Flores, CEO
(702) 644-4673 Ext: 203
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/7/2022
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