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Walgreens #21435
CH08022R COMMUNITY HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS, INC.
Subdivision Name
Community Health Centers, Inc.
Type
HRSA-Funded Health Center
340B ID
CH08022R
Entity Address
1455 West 2200 South, 3rd Floor
West Valley City, UT 84119-7219
Grant Number
H80CS00220
Participating Start Date
7/1/2020
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
Walgreens #21435
Pharmacy Address
Walgreens Central Fill #21435
6306 S Airport Rd
West Jordan, UT 84084-5601
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennifer Lyn Thomas, Executive Director
(801) 412-6920
Contract Pharmacy Representative
Walgreens
Ted Kountouris, Regional Manager
(626) 806-1853
Signed By Date
4/15/2024
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