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WALGREEN CO.
FQHCLA476H COMMUNITY HEALTHNET INC
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Covered Entity Details
Entity Name
COMMUNITY HEALTHNET INC
Subdivision Name
Community HealthNet at Calumet High School
Type
Health Center Program Look-Alike
340B ID
FQHCLA476H
Entity Address
3900 Calhoun Street Door R
Gary, IN 46408-1753
Grant Number
LALCS53695
Participating Start Date
1/1/2025
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03680
1903 CALUMET AVE.
VALPARAISO, IN 46383
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Janet Seabrook, CEO
(219) 484-2442
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/14/2025
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