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WALGREEN CO.
CH0515200 Access Community Health Centers, Inc
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Covered Entity Details
Entity Name
Access Community Health Centers, Inc
Subdivision Name
Joyce & Marshall Erdman Clinic
Type
HRSA-Funded Health Center
340B ID
CH0515200
Entity Address
2202 S Park St
Madison, WI 53713-1916
Grant Number
H80CS00280
Participating Start Date
1/1/2005
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS SPECIALTY PHARMACY #20582
432 S. PARK ST.
MADISON, WI 53715
Pharmacy Comments
Contract Details
Approval Date
1/11/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ken Loving, CEO
(608) 443-5590
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/11/2018
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