340B Drug Pricing Program Database
WALGREEN CO.
CH041410 MEMPHIS HEALTH CENTER, INC. - information as of 5/15/2025 2:22:45 AM
Covered Entity Details
Entity Name
MEMPHIS HEALTH CENTER, INC.
Subdivision Name
MEMPHIS HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH041410
Entity Address
360 E Eh Crump Blvd
Memphis, TN 38126-5310
Grant Number
H80CS00780
Participating Start Date
12/1/1992
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03176
4154 ELVIS PRESLEY BLVD
MEMPHIS, TN 38116
Pharmacy Comments
Contract Details
Approval Date
4/21/2025
Contract Begin Date
4/21/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lois Stockton, Interim Chief Executive Officer
(901) 261-2012
Contract Pharmacy Representative
Memphis Health Center
Lawanda Tate, Pharmacy Manager
(901) 261-2081
Signed By Date
4/21/2025
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