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WALGREEN CO.
CHC24107-00 GENESIS COMMUNITY HEALTH, INC.
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Covered Entity Details
Entity Name
GENESIS COMMUNITY HEALTH, INC.
Subdivision Name
Genesis Community Health
Type
HRSA-Funded Health Center
340B ID
CHC24107-00
Entity Address
709 South Federal Hwy
Suite 3
Boynton Beach, FL 33435-6033
Grant Number
H80CS24107
Participating Start Date
10/1/2012
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 01139
1325 S MILITARY TRAIL
DEERFIELD BEACH, FL 33442
Pharmacy Comments
Contract Details
Approval Date
10/12/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DeAnna Warren, Executive Director
(561) 806-6835 Ext: 201
Contract Pharmacy Representative
Genesis Community Health
DeAnna Warren, Executive Director
(561) 806-6835 Ext: 201
Signed By Date
10/12/2017
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