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WALGREEN EASTERN CO., INC.
CHC10579-00 AHRC HEALTH CARE, INC.
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Covered Entity Details
Entity Name
AHRC HEALTH CARE, INC.
Subdivision Name
Access Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC10579-00
Entity Address
83 Maiden Lane
New York, NY 10038-4812
Grant Number
H80CS10579
Participating Start Date
1/1/2009
Last Recertification Date
3/7/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 04564
159-34 JAMAICA AVE
JAMAICA, NY 11432-6001
Pharmacy Comments
Contract Details
Approval Date
7/17/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Debra Sorkin, CEO
(212) 780-4454
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/17/2013
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