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WALGREENS SPECIALTY PHARMACY, LLC
CH02049D William F. Ryan Community Health Center, Inc.
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Covered Entity Details
Entity Name
William F. Ryan Community Health Center, Inc.
Subdivision Name
Ryan Chelsea-Clinton Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH02049D
Entity Address
645 10th Ave
New York, NY 10036-2904
Grant Number
H80CS00061
Participating Start Date
1/1/2004
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188
Pharmacy Comments
Contract Details
Approval Date
4/12/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scott D. Morgan, Chief Financial Officer
(212) 769-7245
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/12/2023
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