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WALGREEN CO.
CH060530 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
CH060530
Entity Address
12716 N.E. 36TH STREET
OKLAHOMA CITY, OK 73140-3589
Grant Number
H80CS00320
Participating Start Date
10/1/2017
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06436
1400 EAST SECOND ST
EDMOND, OK 73034-5321
Pharmacy Comments
Contract Details
Approval Date
9/27/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Isabella Lawson, Chief Executive Officer
(405) 769-3301 Ext: 1232
Contract Pharmacy Representative
Community Health Centers, Inc.
Tien Huynh, Pharmacy Director
(405) 769-1300
Signed By Date
9/27/2024
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