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WALGREEN CO.
CHC29006-00 WAYNE, COUNTY OF
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Covered Entity Details
Entity Name
WAYNE, COUNTY OF
Subdivision Name
Wayne County Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC29006-00
Entity Address
203 E Main St
Richmond, IN 47374-4208
Grant Number
H80CS29006
Participating Start Date
1/1/2016
Last Recertification Date
1/29/2020
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS SPECIALTY PHARMACY #16317
335 MASSACHUSETTS AVENUE
INDIANAPOLIS, IN 46204
Pharmacy Comments
Contract Details
Approval Date
4/12/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Eric Coulter, Executive Director
(765) 973-9369
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/12/2018
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