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WALGREEN CO.
CHC28361-07 Summit Community Care Clinic, Inc.
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Covered Entity Details
Entity Name
Summit Community Care Clinic, Inc.
Subdivision Name
Upper Blue Elementary
Type
HRSA-Funded Health Center
340B ID
CHC28361-07
Entity Address
1200 Airport Rd
Breckenridge, CO 80424
Grant Number
H80CS28361
Participating Start Date
4/1/2022
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11326
269 DILLON RIDGE RD
DILLON, CO 80435
Pharmacy Comments
Contract Details
Approval Date
1/9/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Daniel Brian Becker, CEO
(970) 424-4899
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/9/2024
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