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WALGREENS SPECIALTY PHARMACY, LLC
CH05727A AxessPointe Community Health Center
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Covered Entity Details
Entity Name
AxessPointe Community Health Center
Subdivision Name
AxessPointe Community Health Center/Kent
Type
HRSA-Funded Health Center
340B ID
CH05727A
Entity Address
143 Gougler Avenue
Kent, OH 44240-3750
Grant Number
H80CS00117
Participating Start Date
10/1/2009
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188
Pharmacy Comments
Contract Details
Approval Date
1/14/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MAGDI AWAD, PHARMACY DIRECTOR
(330) 785-2054
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2025
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