340B Drug Pricing Program Database
WALGREEN CO
CHC07502-00 Legacy Community Health Services, Inc. - information as of 5/20/2025 1:25:05 AM
Covered Entity Details
Entity Name
Legacy Community Health Services, Inc.
Subdivision Name
Legacy Montrose Clinic
Type
HRSA-Funded Health Center
340B ID
CHC07502-00
Entity Address
1415 California St
Houston, TX 77006-2602
Grant Number
H80CS07502
Participating Start Date
10/1/2004
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
15998 WALGREENS DRIVE
JUPITER, FL 33478
Pharmacy Comments
Distribution Center
Contract Details
Approval Date
7/2/2012
Contract Begin Date
7/4/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
KATY CALDWELL, EXECUTIVE DIRECTOR
(713) 830-3052
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/4/2012
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