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WALGREEN CO.
CH051920 OUTREACH COMMUNITY HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
OUTREACH COMMUNITY HEALTH CENTERS, INC.
Subdivision Name
Outreach Community Health Centers, Incorporated
Type
HRSA-Funded Health Center
340B ID
CH051920
Entity Address
220 W Capitol Drive
Milwaukee, WI 53212-1123
Grant Number
H80CS00034
Participating Start Date
1/1/2008
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04720
2222 W. CAPITOL
MILWAUKEE, WI 53206
Pharmacy Comments
Contract Details
Approval Date
1/2/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/15/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Constance Palmer, Chief Executive Officer
(414) 964-9012
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/2/2018
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