Contract Pharmacy Details

WALGREEN CO.
CHC28977-00 TRIANGLE AREA NETWORK, INC.

Covered Entity Details

Entity Name

TRIANGLE AREA NETWORK, INC.

Subdivision Name

Triangle Area Network - Orange

Type

HRSA-Funded Health Center

340B ID

CHC28977-00

Entity Address

3727 N. 16th St.
Orange, TX 77632

Grant Number

H80CS28977

Participating Start Date

4/1/2017

Last Recertification Date

2/17/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 06583
3885 N DOWLEN ROAD
BEAUMONT, TX 77706

Pharmacy Comments

11/18/2011 updated address line 1 (was 3885 DOWLEN ROAD)

Contract Details

Approval Date

10/14/2019

Contract Begin Date

1/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Dena Gray Hughes, CEO
(409) 832-8338 Ext: 222

Contract Pharmacy Representative

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

Signed By Date

10/14/2019

340B Drug Pricing Program Database