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WALGREEN CO.
CH05198AB ALCONA CITIZENS FOR HEALTH, INC.
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Covered Entity Details
Entity Name
ALCONA CITIZENS FOR HEALTH, INC.
Subdivision Name
AHC TIGER HEALTH EXTENSION
Type
HRSA-Funded Health Center
340B ID
CH05198AB
Entity Address
181 N. BARLOW RD
HARRISVILLE, MI 48740
Grant Number
H80CS00679
Participating Start Date
7/1/2006
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10406
2480 E HOUGHTON AVE
WEST BRANCH, MI 48661-1150
Pharmacy Comments
Contract Details
Approval Date
7/12/2024
Contract Begin Date
10/1/2024
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
7/12/2024
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