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WALGREEN CO
CH05306AG Sixteenth Street Community Health Centers, Inc.
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Covered Entity Details
Entity Name
Sixteenth Street Community Health Centers, Inc.
Subdivision Name
Sixteenth Street Community Health Centers-20th Street
Type
HRSA-Funded Health Center
340B ID
CH05306AG
Entity Address
2906 S 20th St
MILWAUKEE, WI 53215-3732
Grant Number
H80CS00593
Participating Start Date
7/1/2006
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #10963
6101 W GREENFIELD AVE
WEST ALLIS, WI 53214
Pharmacy Comments
Contract Details
Approval Date
10/16/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Betsy Spahiu, Vice President Finance
(414) 897-5153
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/16/2017
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