340B Drug Pricing Program Database
WALGREEN CO.
CH092536AA JWCH INSTITUTE, INC. - information as of 6/27/2025 12:42:33 AM
Covered Entity Details
Entity Name
JWCH INSTITUTE, INC.
Subdivision Name
Wesley Health Centers -- Downey
Type
HRSA-Funded Health Center
340B ID
CH092536AA
Entity Address
8530 FIRESTONE BLVD
DOWNEY, CA 90241-4926
Grant Number
H80CS06673
Participating Start Date
10/1/2015
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #12694
10990 WARNER AVE STE A
FOUNTAIN VALLEY, CA 92708
Pharmacy Comments
Contract Details
Approval Date
7/27/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ALVARO BALLESTEROS, EXECUTIVE DIRECTOR
(323) 201-4516 Ext: 3009
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/27/2020
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