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WALGREEN CO.
CH056960 SOUTHSIDE COMMUNITY HEALTH SERVICES
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Covered Entity Details
Entity Name
SOUTHSIDE COMMUNITY HEALTH SERVICES
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH056960
Entity Address
4243 4TH AVE SOUTH
MINNEAPOLIS, MN 55409
Grant Number
H80CS00198
Participating Start Date
10/1/1996
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 16057
5428 LYNDALE AVE S
MINNEAPOLIS, MN 55419
Pharmacy Comments
Contract Details
Approval Date
5/31/2012
Contract Begin Date
5/31/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/10/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
BILL TENDLE, CEO
(612) 821-2800
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
6/1/2012
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