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WALGREEN CO.
CHC24105-02 COMMUNITY TREATMENT INCORPORATED
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Covered Entity Details
Entity Name
COMMUNITY TREATMENT INCORPORATED
Subdivision Name
Community Treatment, Inc - The Valley
Type
HRSA-Funded Health Center
340B ID
CHC24105-02
Entity Address
4300 Gravois Rd
House Springs, MO 63051-2304
Grant Number
H80CS24105
Participating Start Date
7/1/2014
Last Recertification Date
1/30/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06789
701 GRAVOIS BLUFFS BLVD
FENTON, MO 63026
Pharmacy Comments
Contract Details
Approval Date
4/29/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Amy Rhodes, CFO
(636) 232-2341
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/29/2014
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