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WALGREEN CO.
CH05096K COMMUNITY & RURAL HEALTH SERVICES
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Covered Entity Details
Entity Name
COMMUNITY & RURAL HEALTH SERVICES
Subdivision Name
COMMUNITY HEALTH SERVICES - LIMA
Type
HRSA-Funded Health Center
340B ID
CH05096K
Entity Address
1005 Bellefontaine Avenue, Suite 300
Lima, OH 45804
Grant Number
H80CS00661
Participating Start Date
1/1/2017
Last Recertification Date
2/1/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07684
2366 HARDING HWY
LIMA, OH 45804-3426
Pharmacy Comments
Contract Details
Approval Date
7/14/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
JOSEPH LISZAK, CEO
(419) 334-8943 Ext: 225
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/14/2023
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