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WALGREEN EASTERN CO., INC.
CHC12866-01 BEACON CHRISTIAN COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
BEACON CHRISTIAN COMMUNITY HEALTH CENTER
Subdivision Name
BCCHC - Annex
Type
HRSA-Funded Health Center
340B ID
CHC12866-01
Entity Address
2031 Forest Ave
Staten Island, NY 10303-1796
Grant Number
H80CS12866
Participating Start Date
7/1/2016
Last Recertification Date
3/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #02257
1973 FOREST AVENUE
STATEN ISLAND, NY 10303-2104
Pharmacy Comments
Contract Details
Approval Date
4/18/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/17/2017
Pharmacy closed
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Antheria Simpson, Analyst, 340b Operations
(847) 964-6558
Signed By Date
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