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WALGREEN CO.
CHC25683-00 CINCINNATI, CITY OF
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Covered Entity Details
Entity Name
CINCINNATI, CITY OF
Subdivision Name
Elm Street Health Center
Type
HRSA-Funded Health Center
340B ID
CHC25683-00
Entity Address
1525 Elm Street
Cincinnati, OH 45202-6957
Grant Number
H80CS25683
Participating Start Date
4/1/2013
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07470
1032 HARRISON AVE
HARRISON, OH 45030-1522
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
Holly Blackley, Phamacy Director
(513) 316-6817
Contract Pharmacy Representative
walgreen co.
Patrick Andrews, Representative
(847) 964-8710
Signed By Date
1/11/2018
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