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WALGREEN CO.
CH056960 SOUTHSIDE COMMUNITY HEALTH SERVICES
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Covered Entity Details
Entity Name
SOUTHSIDE COMMUNITY HEALTH SERVICES
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH056960
Entity Address
4243 4TH AVE SOUTH
MINNEAPOLIS, MN 55409
Grant Number
H80CS00198
Participating Start Date
10/1/1996
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03114
6975 YORK AVE S
EDINA, MN 55435
Pharmacy Comments
Contract Details
Approval Date
10/10/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ann Cazaban, Executive Director
(612) 821-2025
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/10/2024
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