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WALGREEN CO.
CHC08753-06 BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.
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Covered Entity Details
Entity Name
BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.
Subdivision Name
Fairfield School Based Health Center
Type
HRSA-Funded Health Center
340B ID
CHC08753-06
Entity Address
211 Donald Drive
Fairfield, OH 45014
Grant Number
H80CS08753
Participating Start Date
7/1/2016
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05196
6355 DIXIE HWY
FAIRFIELD, OH 45014
Pharmacy Comments
Contract Details
Approval Date
4/3/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/11/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Stephen Joseph Roller, President & CEO
(513) 454-1467
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/3/2024
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