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WALGREEN EASTERN CO., INC.
CH020180 OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
Subdivision Name
OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH020180
Entity Address
300 West Ave
Brockport, NY 14420-1118
Grant Number
H80CS00170
Participating Start Date
10/14/2008
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #19760
12 PARK DR
HORNELL, NY 14843
Pharmacy Comments
Contract Details
Approval Date
3/21/2018
Contract Begin Date
3/21/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carol A. White, Cfo
(585) 637-3905 Ext: 224
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
3/21/2018
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