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WALGREEN EASTERN CO., INC.
CH01081M Southwest Community Health Center, Inc.
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Covered Entity Details
Entity Name
Southwest Community Health Center, Inc.
Subdivision Name
SOUTHWEST COMMUNITY HLTH CTR, INC
Type
HRSA-Funded Health Center
340B ID
CH01081M
Entity Address
968 Fairfield Ave
Bridgeport, CT 06605-1116
Grant Number
H80CS00613
Participating Start Date
4/11/2019
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 07522
4083 MAIN STREET
BRIDGEPORT, CT 06606
Pharmacy Comments
Contract Details
Approval Date
4/3/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mollie Melbourne, President/CEO
(203) 332-3501
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/3/2024
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