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Walgreen CO
CH071857H EASTERN IOWA HEALTH CENTER
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Covered Entity Details
Entity Name
EASTERN IOWA HEALTH CENTER
Subdivision Name
Eastern Iowa Health Center - Pediatrics
Type
HRSA-Funded Health Center
340B ID
CH071857H
Entity Address
1225 3rd Ave SE
Cedar Rapids, IA 52403-4009
Grant Number
H80CS08226
Participating Start Date
7/1/2024
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
Walgreen CO
Pharmacy Address
DBA Walgreens Central Fill #21417
599 S Schmidt Rd
Ste A
Bolingbrook, IL 60440-9405
Pharmacy Comments
Contract Details
Approval Date
4/13/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Lock, President & CEO
(319) 730-7300
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/13/2025
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