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WALGREEN CO.
CH052140 Henderson County Rural Health Center, Inc
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Covered Entity Details
Entity Name
Henderson County Rural Health Center, Inc
Subdivision Name
Eagle View Community Health System-Oquawka Location
Type
HRSA-Funded Health Center
340B ID
CH052140
Entity Address
1204 HIGHWAY 164 EAST
OQUAWKA, IL 61469
Grant Number
H80CS00192
Participating Start Date
10/1/1998
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09476
201 S CENTRAL AVENUE
BURLINGTON, IA 52601-5738
Pharmacy Comments
Contract Details
Approval Date
1/17/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/18/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Lori A. Sutton, Executive Director
(309) 867-2734 Ext: 211
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/17/2017
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