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Walgreens #21423
CH050920 NEIGHBORHOOD HEALTH CARE INCORPORATED
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Covered Entity Details
Entity Name
NEIGHBORHOOD HEALTH CARE INCORPORATED
Subdivision Name
Ridge Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH050920
Entity Address
3569 Ridge Rd
Cleveland, OH 44102-5443
Grant Number
H80CS00665
Participating Start Date
10/1/1997
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
Walgreens #21423
Pharmacy Address
Walgreens Central Fill #21423
6275 Winchester Blvd
Canal WInchester, OH 43110-6537
Pharmacy Comments
Contract Details
Approval Date
10/2/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Domonic Montrell Hopson, Chief Executive Officer
(216) 302-5252
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/2/2023
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