340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
FQHCLA378A SOUTH CNTRL HOU COMM
Print
Covered Entity Details
Entity Name
SOUTH CNTRL HOU COMM
Subdivision Name
Martin Luther King Site
Type
Health Center Program Look-Alike
340B ID
FQHCLA378A
Entity Address
8610 Martin Luther King Jr. Blvd
Houston, TX 77033
Grant Number
LALCS32107
Participating Start Date
10/30/2018
Last Recertification Date
1/29/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 11465
3822 OLD SPANISH TRAIL
HOUSTON, TX 77021
Pharmacy Comments
Contract Details
Approval Date
11/1/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
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
11/1/2018
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