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WALGREEN CO
STD48625 Central Michigan District Health Department
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Covered Entity Details
Entity Name
Central Michigan District Health Department
Subdivision Name
Harrison location
Type
Sexually Transmitted Diseases
340B ID
STD48625
Entity Address
815 N. Clare Ave.
Suite B
Harrison, MI 48625
Grant Number
NH25PS005170
Participating Start Date
1/1/2021
Last Recertification Date
5/15/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #12534
1301 N US HWY 31
PETOSKEY, MI 49770
Pharmacy Comments
Contract Details
Approval Date
1/6/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jaclyn Badger, Health Promotion Director
(989) 773-5921 Ext: 1628
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/6/2025
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