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WALGREEN CO.
CH05644C OHIO NORTH EAST HEALTH SYSTEMS INC
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Covered Entity Details
Entity Name
OHIO NORTH EAST HEALTH SYSTEMS INC
Subdivision Name
Good Samaritan Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH05644C
Entity Address
1390 S Arch Ave
Alliance, OH 44601-4111
Grant Number
H80CS00196
Participating Start Date
10/1/2007
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09385
2012 S UNION
ALLIANCE, OH 44601
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ronald Dwinnells, CEO
(330) 747-2330
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/13/2023
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