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WALGREEN CO.
CHC06446-00 COMMUNITY HEALTH CONNECTION INC
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CONNECTION INC
Subdivision Name
COMMUNITY HEALTH CONNECTION, INC. - ELLEN OCHOA
Type
HRSA-Funded Health Center
340B ID
CHC06446-00
Entity Address
12020 E 31st St
Tulsa, OK 74146-2001
Grant Number
H80CS06446
Participating Start Date
7/1/2010
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05529
2330 CHANDLER RD
MUSKOGEE, OK 74403
Pharmacy Comments
Contract Details
Approval Date
2/12/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/15/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
W James McCarthy, Chief Executive Officer
(918) 622-0641 Ext: 117
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2013
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