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WALGREEN CO.
CH0530920 HEALTHLINC, INC.
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Covered Entity Details
Entity Name
HEALTHLINC, INC.
Subdivision Name
HealthLinc Valparaiso
Type
HRSA-Funded Health Center
340B ID
CH0530920
Entity Address
1001 Sturdy Rd
Valparaiso, IN 46383
Grant Number
H80CS06662
Participating Start Date
1/1/2004
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07631
720 W CHICAGO AVE
EAST CHICAGO, IN 46312-3222
Pharmacy Comments
Contract Details
Approval Date
4/9/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/6/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
BETH WROBEL, CEO
(219) 465-9500
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/9/2016
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