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WALGREEN CO.
CH05198A ALCONA CITIZENS FOR HEALTH, INC.
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Covered Entity Details
Entity Name
ALCONA CITIZENS FOR HEALTH, INC.
Subdivision Name
Alcona Health Centers - Harrisville Services
Type
HRSA-Funded Health Center
340B ID
CH05198A
Entity Address
205 N. State St. STE A
Harrisville, MI 48740
Grant Number
H80CS00679
Participating Start Date
1/1/2002
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05481
710 SPRING STREET
PETOSKEY, MI 49770
Pharmacy Comments
Contract Details
Approval Date
4/10/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nancy Spencer, CEO
(989) 358-3916
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/10/2024
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