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WALGREEN CO.
CH07117AA Community Health Care, Inc.
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Covered Entity Details
Entity Name
Community Health Care, Inc.
Subdivision Name
Community Health Care, Inc. Muscatine
Type
HRSA-Funded Health Center
340B ID
CH07117AA
Entity Address
2925 Cedar St
Ste 2
Muscatine, IA 52761
Grant Number
H80CS00670
Participating Start Date
5/15/2020
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05885
1703 PARK AVE
MUSCATINE, IA 52761
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Thomas Bowman, CEO
(563) 336-3112
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/17/2023
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