Contract Pharmacy Details

WALGREEN CO.
CHC08241-00 MISSION CITY COMMUNITY NETWORK

Covered Entity Details

Entity Name

MISSION CITY COMMUNITY NETWORK

Subdivision Name

Type

HRSA-Funded Health Center

340B ID

CHC08241-00

Entity Address

15206 PARTHENIA STREET
NORTH HILLS, CA 91343

Grant Number

H80CS08241

Participating Start Date

7/1/2000

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 05744
128 S STATE COLLEGE BLVD.
ANAHEIM, CA 92806

Pharmacy Comments

Contract Details

Approval Date

7/8/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Nik Gupta, CEO
(818) 895-3100

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

7/8/2018

340B Drug Pricing Program Database