340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO
CHC00836-12 South Central Primary Care Center, Inc.
Print
Covered Entity Details
Entity Name
South Central Primary Care Center, Inc.
Subdivision Name
Psychiatric and Counseling Services
Type
HRSA-Funded Health Center
340B ID
CHC00836-12
Entity Address
303 Shirley Ave Ste A
Douglas, GA 31533-2367
Grant Number
H80CS00836
Participating Start Date
10/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #11661
602 PETERSON AVE S
DOUGLAS, GA 31533
Pharmacy Comments
Contract Details
Approval Date
7/10/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert B. Tucker, CEO
(229) 468-9166 Ext: 1
Contract Pharmacy Representative
Walgreens Co
Christina Hess, 340B Client Relationships
(847) 964-4000
Signed By Date
7/10/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session