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WALGREEN CO.
CHC12888-01 LORAIN COUNTY HEALTH & DENTISTRY
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Covered Entity Details
Entity Name
LORAIN COUNTY HEALTH & DENTISTRY
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CHC12888-01
Entity Address
3745 GROVE AVENUE
LORAIN, OH 44055
Grant Number
H80CS12888
Participating Start Date
1/1/2004
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10222
2730 BROADWAY
LORAIN, OH 44052-4836
Pharmacy Comments
Contract Details
Approval Date
5/10/2007
Contract Begin Date
5/10/2007
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/27/2007
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