Contract Pharmacy Details

WALGREEN CO.
CH041410 MEMPHIS HEALTH CENTER, INC.

Covered Entity Details

Entity Name

MEMPHIS HEALTH CENTER, INC.

Subdivision Name

MEMPHIS HEALTH CENTER, INC.

Type

HRSA-Funded Health Center

340B ID

CH041410

Entity Address

360 E Eh Crump Blvd
Memphis, TN 38126-5310

Grant Number

H80CS00780

Participating Start Date

12/1/1992

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 05654
6770 MACON ROAD
MEMPHIS, TN 38134

Pharmacy Comments

Contract Details

Approval Date

3/5/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2016
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Willeen W. Hastings, Chief Executive Officer
(901) 261-2012

Contract Pharmacy Representative

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

Signed By Date

1/15/2013

340B Drug Pricing Program Database