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WALGREEN CO.
CH051741H SHALOM HEALTH CARE CENTER, INC.
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Covered Entity Details
Entity Name
SHALOM HEALTH CARE CENTER, INC.
Subdivision Name
SHALOM PRIMARY CARE CENTER
Type
HRSA-Funded Health Center
340B ID
CH051741H
Entity Address
3400 Lafayette Rd
Indianapolis, IN 46222-1146
Grant Number
H80CS00880
Participating Start Date
7/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03363
1505 E 86TH ST
INDIANAPOLIS, IN 46240
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
1/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Leonardo R. Ortega, Executive Director/CEO
(317) 291-7422 Ext: 1105
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/12/2023
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