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WALGREEN CO.
CH058660G Community Healthnet, Inc
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Covered Entity Details
Entity Name
Community Healthnet, Inc
Subdivision Name
Hammond Morton High School
Type
HRSA-Funded Health Center
340B ID
CH058660G
Entity Address
6915 Grand Ave
Hammond, IN 46323-2587
Grant Number
H80CS06665
Participating Start Date
4/1/2023
Last Recertification Date
2/5/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY#21202
1001 CALUMET AVE STE 101
DYER, IN 46311
Pharmacy Comments
Contract Details
Approval Date
7/14/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Janet Seabrook, CEO
(219) 484-2442
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/14/2024
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