Contract Pharmacy Details

WALGREEN CO.
CHC08753-00 BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.

Covered Entity Details

Entity Name

BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.

Subdivision Name

Hamilton Community Health Center

Type

HRSA-Funded Health Center

340B ID

CHC08753-00

Entity Address

210 South Second Street
Hamilton, OH 45011

Grant Number

H80CS08753

Participating Start Date

4/1/2006

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #12703
537 W. MAIN ST.
XENIA, OH 45385-2811

Pharmacy Comments

Contract Details

Approval Date

7/23/2014

Contract Begin Date

10/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/1/2016
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

MARC BELLISARIO, CEO/EXECUTIVE DIRECTOR
(513) 454-1459

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

7/23/2014

340B Drug Pricing Program Database