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Walgreens #21423
CHC26575-00 Community Health & Wellness Partners of Logan County
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Covered Entity Details
Entity Name
Community Health & Wellness Partners of Logan County
Subdivision Name
West Liberty Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26575-00
Entity Address
4879 US Route 68 South
West Liberty, OH 43357-1123
Grant Number
H80CS26575
Participating Start Date
7/1/2014
Last Recertification Date
2/10/2025
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
10/6/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tara Bair, President/CEO
(937) 599-1411 Ext: 250
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/6/2023
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