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WALGREEN CO.
CH072110 Charles Drew Health Center, Inc
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Covered Entity Details
Entity Name
Charles Drew Health Center, Inc
Subdivision Name
Charles Drew Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CH072110
Entity Address
2915 Grant St
Omaha, NE 68111-3863
Grant Number
H80CS00438
Participating Start Date
4/1/1996
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #15237
2929 N. 60TH STREET
OMAHA, NE 68104
Pharmacy Comments
Contract Details
Approval Date
10/2/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kenny Mcmorris, CEO
(402) 457-1245
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/2/2015
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