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WALGREENS SPECIALTY PHARMACY, LLC
CH05198AR ALCONA CITIZENS FOR HEALTH INC
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Covered Entity Details
Entity Name
ALCONA CITIZENS FOR HEALTH INC
Subdivision Name
Alcona Health Center Mobile Unit
Type
HRSA-Funded Health Center
340B ID
CH05198AR
Entity Address
1185 US-23 N
Alpena, MI 49707-3658
Grant Number
H80CS00679
Participating Start Date
4/1/2025
Last Recertification Date
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
1/15/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nancy Spencer, CEO
(989) 358-3916
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2025
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