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WALGREEN CO.
CH0718570 Eastern Iowa Health Center
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Covered Entity Details
Entity Name
Eastern Iowa Health Center
Subdivision Name
Eastern Iowa Health Center
Type
HRSA-Funded Health Center
340B ID
CH0718570
Entity Address
1201 3rd Ave SE
Cedar Rapids, IA 52403
Grant Number
H80CS08226
Participating Start Date
4/1/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA; WALGREENS #12393
5750 C AVE NE
CEDAR RAPIDS, IA 52402
Pharmacy Comments
Contract Details
Approval Date
4/10/2017
Contract Begin Date
7/1/2017
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
4/10/2017
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