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WALGREEN CO.
CHC26576-01 Five Rivers Health Centers
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Covered Entity Details
Entity Name
Five Rivers Health Centers
Subdivision Name
Five Rivers Medical Surgical Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26576-01
Entity Address
725 South Ludlow
Dayton, OH 45402
Grant Number
H80CS26576
Participating Start Date
10/1/2014
Last Recertification Date
2/9/2022
Entity Termination Date
1/1/2023
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12703
537 W. MAIN ST.
XENIA, OH 45385-2811
Pharmacy Comments
Contract Details
Approval Date
4/13/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Diane M. Cummins, Chief Operating Officer
(937) 281-5942
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/13/2017
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