Contract Pharmacy Details

WALGREEN CO
CH048950 SE ALABAMA RURAL HEALTH ASSOCIATES (SARHA)

Covered Entity Details

Entity Name

SE ALABAMA RURAL HEALTH ASSOCIATES (SARHA)

Subdivision Name

Administrative Offices

Type

HRSA-Funded Health Center

340B ID

CH048950

Entity Address

1414 Elba Hwy
Troy, AL 36079-6020

Grant Number

H80CS00376

Participating Start Date

7/1/1996

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO

Pharmacy Address

DBA: WALGREENS #11098
100 ELBA HWY
TROY, AL 36079

Pharmacy Comments

Contract Details

Approval Date

1/11/2019

Contract Begin Date

4/1/2019

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

JOHN A. LITTLE, CEO
(334) 670-6726

Contract Pharmacy Representative

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

Signed By Date

1/11/2019

340B Drug Pricing Program Database