Contract Pharmacy Details

WALGREEN CO.
CH038440 WOMENCARE, INC.

Covered Entity Details

Entity Name

WOMENCARE, INC.

Subdivision Name

FamilyCare Health Center - Teays Valley

Type

HRSA-Funded Health Center

340B ID

CH038440

Entity Address

97 Great Teays Blvd STE 6
Scott Depot, WV 25560-9816

Grant Number

H80CS00827

Participating Start Date

7/1/2000

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #12678
3000 TEAYS VALLEY RD.
HURRICANE, WV 25526

Pharmacy Comments

Contract Details

Approval Date

9/6/2012

Contract Begin Date

9/6/2012

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Martha Carter, CEO
(304) 760-6316

Contract Pharmacy Representative

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

Signed By Date

8/29/2012

340B Drug Pricing Program Database