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WALGREEN EASTERN CO., INC.
FQHCLA462 HASC DIAGNOSTIC AND TREATMENT CENTER, INC.
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Covered Entity Details
Entity Name
HASC DIAGNOSTIC AND TREATMENT CENTER, INC.
Subdivision Name
HASC Diagnostic and Treatment Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA462
Entity Address
1221 E 14th St
Brooklyn, NY 11230-4803
Grant Number
LALCS52978
Participating Start Date
4/1/2024
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #18135
1532-34 86TH STREET
BROOKLYN, NY 11228
Pharmacy Comments
Contract Details
Approval Date
10/1/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tzvi Kahn, CEO
(718) 942-3860
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/1/2024
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