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WALGREEN ARIZONA DRUG CO.
CH0621770 CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT #1
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Covered Entity Details
Entity Name
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT #1
Subdivision Name
BAYSIDE COMMUNITY HOSPITAL
Type
HRSA-Funded Health Center
340B ID
CH0621770
Entity Address
200 HOSPITAL DRIVE
ANAHUAC, TX 77514
Grant Number
H80CS08788
Participating Start Date
9/1/2008
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN ARIZONA DRUG CO.
Pharmacy Address
WALGREENS CENTRAL FILL #21372
120 N 83RD AVE
STE 200
TOLLESON, AZ 85353
Pharmacy Comments
Contract Details
Approval Date
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/16/2023
Agreement registered in error
Contacts
Covered Entity Signing Official
Elissa Lofgren, Executive Director
(281) 576-0670
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/12/2023
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