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WALGREEN CO.
FQHCLA280A Knox/Winamac Community Health Centers, Inc.
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Covered Entity Details
Entity Name
Knox/Winamac Community Health Centers, Inc.
Subdivision Name
Knox/Winamac Community Health Centers
Type
Health Center Program Look-Alike
340B ID
FQHCLA280A
Entity Address
1002 S. Edgewood Dr.
Knox, IN 46534-8226
Grant Number
LALCS00038
Participating Start Date
10/1/2015
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09100
2014 N MICHIGAN ST
PLYMOUTH, IN 46563-1048
Pharmacy Comments
Contract Details
Approval Date
10/6/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kathy Robb, Executive Director
(574) 772-6030 Ext: 24
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/6/2015
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