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WALGREEN CO.
CH10002A ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC.
Subdivision Name
Anchorage Neighborhood Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CH10002A
Entity Address
4951 Business Park Blvd
Anchorage, AK 99503-7174
Grant Number
H80CS00146
Participating Start Date
4/1/1999
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12681
1721 E PARKS HWY
WASILLA, AK 99654
Pharmacy Comments
Contract Details
Approval Date
1/12/2012
Contract Begin Date
1/12/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LEONARD STEWART, CEO
(907) 792-6528
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/13/2012
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