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WALGREEN CO
CH05198Q Alcona Citizens For Health, Inc.
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Covered Entity Details
Entity Name
Alcona Citizens For Health, Inc.
Subdivision Name
Alpena High School
Type
HRSA-Funded Health Center
340B ID
CH05198Q
Entity Address
3303 S Third Ave Ste D-128
Alpena, MI 49707
Grant Number
H80CS00679
Participating Start Date
10/1/2022
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #12508
1500 BRIDGE ST
CHARLEVOIX, MI 49720
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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