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WALGREEN CO.
CH056430 Grace Health, Inc.
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Covered Entity Details
Entity Name
Grace Health, Inc.
Subdivision Name
Grace Health, Inc.
Type
HRSA-Funded Health Center
340B ID
CH056430
Entity Address
181 Emmett St W
Battle Creek, MI 49037-2963
Grant Number
H80CS00586
Participating Start Date
7/1/1998
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #15633
797 CAPITAL AVE NE
BATTLE CREEK, MI 49017
Pharmacy Comments
Contract Details
Approval Date
2/12/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
AJ Jones, President/CEO
(269) 966-2600
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2013
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