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WALGREEN CO.
CH059030 COMMUNITY HEALTH SYSTEMS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH SYSTEMS, INC.
Subdivision Name
Corporate Office
Type
HRSA-Funded Health Center
340B ID
CH059030
Entity Address
74 Eclipse Ctr
BELOIT, WI 53511-3550
Grant Number
H80CS00676
Participating Start Date
1/1/1999
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #13613
1933 W. COURT ST.
JANESVILLE, WI 53548
Pharmacy Comments
Contract Details
Approval Date
10/3/2011
Contract Begin Date
10/3/2011
Carve-In Effective Date
Contract Comments
3/25/16 "unterminated" after discussion with CE
Contacts
Covered Entity Signing Official
RICHARD A. PERRY, CEO
(608) 361-6130
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/11/2011
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