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WALGREEN EASTERN CO., INC.
CH02062K CORNERSTONE FAMILY HEALTHCARE
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Covered Entity Details
Entity Name
CORNERSTONE FAMILY HEALTHCARE
Subdivision Name
Mobile Health Van 3
Type
HRSA-Funded Health Center
340B ID
CH02062K
Entity Address
147 Lake Street
Newburgh, NY 12550-5263
Grant Number
H80CS00469
Participating Start Date
1/1/2018
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #11207
37 PENNSYLVANIA AVENUE
BINGHAMTON, NY 13903-1608
Pharmacy Comments
Contract Details
Approval Date
10/27/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LINDA S. MULLER, CEO
(845) 220-3130
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/27/2022
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