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WALGREEN CO.
CHC24136-00 UNITED FAMILY PRACTICE HEALTH CENTER
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Covered Entity Details
Entity Name
UNITED FAMILY PRACTICE HEALTH CENTER
Subdivision Name
United Family Medicine
Type
HRSA-Funded Health Center
340B ID
CHC24136-00
Entity Address
1026 7th St W
Saint Paul, MN 55102-3828
Grant Number
H80CS24136
Participating Start Date
4/1/2013
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 00828
12 W 66TH ST
RICHFIELD, MN 55423
Pharmacy Comments
Contract Details
Approval Date
10/5/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steven Ficks, CFO
(651) 241-1027
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/5/2016
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