340B Drug Pricing Program Database
WALGREEN CO.
CH0511020 PROGRESSIVE COMMUNITY HEALTH CENTERS, INC - information as of 5/16/2025 2:04:56 AM
Covered Entity Details
Entity Name
PROGRESSIVE COMMUNITY HEALTH CENTERS, INC
Subdivision Name
LISBON AVENUE HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH0511020
Entity Address
3522 W Lisbon Ave
Milwaukee, WI 53208-1953
Grant Number
H80CS00751
Participating Start Date
4/1/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 00295
4808 N HOPKINS
MILWAUKEE, WI 53209
Pharmacy Comments
Contract Details
Approval Date
10/3/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JENNI SEVENICH, CEO
(414) 934-9465
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/3/2022
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