340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH092536Z JWCH INSTITUTE, INC.
Print
Covered Entity Details
Entity Name
JWCH INSTITUTE, INC.
Subdivision Name
Bell Gardens Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH092536Z
Entity Address
6912 AJAX AVE
BELL GARDENS, CA 90201-4057
Grant Number
H80CS06673
Participating Start Date
1/1/2015
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05773
11800 ARTESIA BLVD
ARTESIA, CA 90701
Pharmacy Comments
Contract Details
Approval Date
10/17/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/31/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ALVARO BALLESTEROS, EXECUTIVE DIRECTOR
(323) 201-4516 Ext: 3009
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/17/2019
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