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WALGREEN CO.
CH100570 COLUMBIA VALLEY COMMUNITY HEALTH
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Covered Entity Details
Entity Name
COLUMBIA VALLEY COMMUNITY HEALTH
Subdivision Name
CVCH Wenatchee Clinic
Type
HRSA-Funded Health Center
340B ID
CH100570
Entity Address
600 Orondo Ave STE 1
Wenatchee, WA 98801
Grant Number
H80CS00574
Participating Start Date
12/1/1992
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 02670
1050 N MILLER ST
WENATCHEE, WA 98801-1512
Pharmacy Comments
Contract Details
Approval Date
1/6/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Patrick Bucknum, CEO
(509) 662-6000 Ext: 1010
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/6/2016
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