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WALGREEN CO.
CH058660 COMMUNITY HEALTHNET
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Covered Entity Details
Entity Name
COMMUNITY HEALTHNET
Subdivision Name
GARY COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH058660
Entity Address
1021 W 5th Ave
Gary, IN 46402-1703
Grant Number
H80CS06665
Participating Start Date
10/1/2006
Last Recertification Date
2/5/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #13949
6001 CENTRAL AVE
PORTAGE, IN 46368-3506
Pharmacy Comments
09/27/2012 Pharmacy moved (was #2765 6030 CENTRAL)
Contract Details
Approval Date
7/17/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
JANET SEABROOK, CEO
(219) 484-2442
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/17/2023
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