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WALGREEN CO.
CH0627760 HEALTH CENTER OF SOUTHEAST TEXAS
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Covered Entity Details
Entity Name
HEALTH CENTER OF SOUTHEAST TEXAS
Subdivision Name
Health Center of Southeast Texas
Type
HRSA-Funded Health Center
340B ID
CH0627760
Entity Address
307 N. William Barnett Ave.
Cleveland, TX 77327-4061
Grant Number
H80CS08770
Participating Start Date
1/1/2008
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11814
101 S. WASHINGTON AVE.
CLEVELAND, TX 77327-4414
Pharmacy Comments
Contract Details
Approval Date
9/9/2011
Contract Begin Date
9/9/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Maggie Estrada, COO
(281) 592-2224
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
9/22/2011
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