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Walgreen CO
CH0718570 Eastern Iowa Health Center
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Covered Entity Details
Entity Name
Eastern Iowa Health Center
Subdivision Name
Eastern Iowa Health Center
Type
HRSA-Funded Health Center
340B ID
CH0718570
Entity Address
1201 3rd Ave SE
Cedar Rapids, IA 52403
Grant Number
H80CS08226
Participating Start Date
4/1/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
Walgreen CO
Pharmacy Address
DBA Walgreens Central Fill #21417
599 S Schmidt Rd
Ste A
Bolingbrook, IL 60440-9405
Pharmacy Comments
Contract Details
Approval Date
7/11/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Lock, President & CEO
(319) 730-7300
Contract Pharmacy Representative
Walgreens
Brenda Motley, Operations Analyst
(847) 964-7033
Signed By Date
7/11/2023
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