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WALGREEN CO.
CH051830 INGHAM COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
INGHAM COUNTY HEALTH DEPARTMENT
Subdivision Name
CEDAR COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH051830
Entity Address
5303 S. Cedar St.
LANSING, MI 48911-3800
Grant Number
H80CS00030
Participating Start Date
10/1/2007
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11286
2131 W. GRAND RIVER AVE.
OKEMOS, MI 48864
Pharmacy Comments
Contract Details
Approval Date
4/13/2017
Contract Begin Date
4/13/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Russell S. Kolski, Interim CHC Executive Director/Deputy Health Officer
(517) 887-4361
Contract Pharmacy Representative
Janice Speakman, 340B Implementation Analyst
(847) 964-6823
Signed By Date
4/13/2017
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