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WALGREEN CO.
CH051820 CARE ALLIANCE
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Covered Entity Details
Entity Name
CARE ALLIANCE
Subdivision Name
CARE ALLIANCE HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH051820
Entity Address
1530 Saint Clair Ave NE
Cleveland, OH 44114-2004
Grant Number
H80CS00029
Participating Start Date
1/1/2000
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03234
4281 W. 130TH STREET
CLEVELAND, OH 44135
Pharmacy Comments
Contract Details
Approval Date
10/12/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/7/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Terrance K. Byrne, Chief Operating Officer
(216) 781-6228 Ext: 227
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/12/2017
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