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WALGREENS SPECIALTY PHARMACY, LLC
CH0512480 CHRISTIAN COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
CHRISTIAN COMMUNITY HEALTH CENTER
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH0512480
Entity Address
9718 S Halsted Street
CHICAGO, IL 60628-1007
Grant Number
H80CS00594
Participating Start Date
7/1/2006
Last Recertification Date
2/10/2025
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
4/5/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kenneth A. Burnett, Chief Executive Officer
(773) 298-4745
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/5/2017
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