340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH09107BP San Francisco Community Clinic Consortium
Print
Covered Entity Details
Entity Name
San Francisco Community Clinic Consortium
Subdivision Name
Balboa Teen Health Center
Type
HRSA-Funded Health Center
340B ID
CH09107BP
Entity Address
Balboa Teen Health Center
1000 Cayuga Avenue Room 156
San Francisco, CA 94112
Grant Number
H80CS00049
Participating Start Date
7/1/2012
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04558
300 GOUGH STREET
SAN FRANCISCO, CA 94102
Pharmacy Comments
Contract Details
Approval Date
7/21/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Susan Ehrlich, CEO
(628) 206-8118
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/21/2018
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