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WALGREEN CO.
CH07117AB Community Health Care, Inc.
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Covered Entity Details
Entity Name
Community Health Care, Inc.
Subdivision Name
Community Health Care, Inc. - The Project
Type
HRSA-Funded Health Center
340B ID
CH07117AB
Entity Address
4101 John Deere Rd
Moline, IL 61265
Grant Number
H80CS00670
Participating Start Date
4/1/2021
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06067
555 19TH AVE
MOLINE, IL 61265-3761
Pharmacy Comments
Contract Details
Approval Date
7/14/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Thomas Bowman, CEO
(563) 336-3112
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/14/2023
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