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WALGREEN CO.
CH101520 TRI-CITIES COMMUNITY HEALTH
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Covered Entity Details
Entity Name
TRI-CITIES COMMUNITY HEALTH
Subdivision Name
TCCH Pasco-Medical, Pharmacy & Optometry
Type
HRSA-Funded Health Center
340B ID
CH101520
Entity Address
515 W Court St
Pasco, WA 99301-3737
Grant Number
H80CS00498
Participating Start Date
7/1/1996
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10195
2800 W CLEARWATER AVE
KENNEWICK, WA 99336-2945
Pharmacy Comments
Contract Details
Approval Date
6/25/2012
Contract Begin Date
6/25/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Esleen Fultz, CFO
(509) 547-2204
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
6/15/2012
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