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WALGREEN CO.
CH065800 SO. CENTRAL HOUSTON ACTION COUNCIL, INC.
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Covered Entity Details
Entity Name
SO. CENTRAL HOUSTON ACTION COUNCIL, INC.
Subdivision Name
MLK
Type
HRSA-Funded Health Center
340B ID
CH065800
Entity Address
8610 MARTIN LUTHER KING, BLVD
HOUSTON, TX 77033
Grant Number
H80CS00204
Participating Start Date
10/1/1998
Last Recertification Date
2/7/2018
Entity Termination Date
1/1/2019
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 12015
747 E CROSSTIMBERS ST.
HOUSTON, TX 77022
Pharmacy Comments
Contract Details
Approval Date
10/2/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
La Toya Darden, CEO
(713) 734-0199 Ext: 1072
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/2/2018
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