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Walgreens Central Fill #21399
CH0516210 WINTON HILLS MEDICAL & HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
WINTON HILLS MEDICAL & HEALTH CENTER, INC.
Subdivision Name
WINTON HILLS MEDICAL & HEALTH CENTER PHARMACY
Type
HRSA-Funded Health Center
340B ID
CH0516210
Entity Address
5275 WINNESTE AVENUE
CINCINNATI, OH 45232
Grant Number
H80CS00853
Participating Start Date
7/1/2005
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
Walgreens Central Fill #21399
Pharmacy Address
4132Plainfield Rd
Ste 110
Indianapolis, IN 46231-7021
Pharmacy Comments
Contract Details
Approval Date
4/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Miriam Crenshaw, CEO
(513) 233-7100
Contract Pharmacy Representative
Walgreens
Allene Stewart, Analyst, 340B Client Relationship
(847) 315-4442
Signed By Date
4/17/2023
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