340B Drug Pricing Program Database
WALGREEN CO.
CH036820 LA CLINICA DEL PUEBLO - information as of 5/6/2025 11:25:45 PM
Covered Entity Details
Entity Name
LA CLINICA DEL PUEBLO
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH036820
Entity Address
2831 15TH STREET NW
WASHINGTON, DC 20009
Grant Number
H80CS08244
Participating Start Date
1/1/2008
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #19312
6130 BALTIMORE AVE
RIVERDALE, MD 20737
Pharmacy Comments
Contract Details
Approval Date
1/3/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Catalina Sol, Executive Director
(202) 448-2810
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/3/2022
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