340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
FQHCLA353 LIVINGSTONE COMMUNITY DEVELOPMENT CORPORATION
Print
Covered Entity Details
Entity Name
LIVINGSTONE COMMUNITY DEVELOPMENT CORPORATION
Subdivision Name
Livingstone Community Health Clinic
Type
Health Center Program Look-Alike
340B ID
FQHCLA353
Entity Address
12362 Beach Blvd # 10
Stanton, CA 90680-3944
Grant Number
LALCS31259
Participating Start Date
1/1/2018
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04354
6012 WARNER AVE.
HUNTINGTON BEACH, CA 92647
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kyung Il Park, CEO
(714) 248-9500
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/17/2018
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