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WALGREEN EASTERN CO., INC.
CH036670 RESOURCES FOR HUMAN DEVELOPMENT, INC.
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Covered Entity Details
Entity Name
RESOURCES FOR HUMAN DEVELOPMENT, INC.
Subdivision Name
Family Practice and Counseling Network-Admin Office
Type
HRSA-Funded Health Center
340B ID
CH036670
Entity Address
4700 WISSAHICKON AVE ,
SUITE 126
PHILADELPHIA, PA 19144-4248
Grant Number
H80CS00718
Participating Start Date
7/1/1995
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #11595
245 N BROAD ST STE 1
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
1/6/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dyann Roth, CEO
(215) 951-0300
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/6/2017
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