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WALGREEN CO.
CH04327AR Eau Claire Cooperative Health Center
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Covered Entity Details
Entity Name
Eau Claire Cooperative Health Center
Subdivision Name
Cayce/West Columbia Primary Care Center
Type
HRSA-Funded Health Center
340B ID
CH04327AR
Entity Address
407 North Brown Street
West Columbia, SC 29169
Grant Number
H80CS00730
Participating Start Date
1/1/2019
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06137
2224 AUGUSTA ROAD
WEST COLUMBIA, SC 29169-4524
Pharmacy Comments
Contract Details
Approval Date
10/7/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
PEATRA CRUZ, CHIEF ORGANIZATIONAL DEVELOPMENT OFFICER
(803) 733-5969
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/7/2024
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