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WALGREEN CO.
CH051833N Heartland Community Health Clinic DBA Heartland Health Services
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Covered Entity Details
Entity Name
Heartland Community Health Clinic DBA Heartland Health Services
Subdivision Name
Tazwood
Type
HRSA-Funded Health Center
340B ID
CH051833N
Entity Address
3248 Vandever Ave Ste B
Pekin, IL 61554
Grant Number
H80CS02457
Participating Start Date
10/1/2019
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09508
221 N WESTERN AVE
WEST PEORIA, IL 61604-5640
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dewitt Harrell, CEO
(309) 680-7657
Contract Pharmacy Representative
Walgreens
privacy officer privacy oficer, Privacy Officer
(847) 236-6518
Signed By Date
10/14/2024
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