Contract Pharmacy Details

WALGREENS SPECIALTY PHARMACY, LLC
CH093210 Camarena Health

Covered Entity Details

Entity Name

Camarena Health

Subdivision Name

DMC WOMEN'S CARE HEALTH CTR

Type

HRSA-Funded Health Center

340B ID

CH093210

Entity Address

201 S B St
Madera, CA 93638-3719

Grant Number

H80CS00143

Participating Start Date

4/1/2001

Last Recertification Date

1/31/2023

Entity Termination Date

1/1/2024

Pharmacy Details

Pharmacy Name

WALGREENS SPECIALTY PHARMACY, LLC

Pharmacy Address

ALLIANCERX WALGREENS PRIME #12314
9775 SW GEMINI DR, STE 1
BEAVERTON, OR 97008

Pharmacy Comments

Contract Details

Approval Date

1/14/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2023
Pharmacy closed

Contacts

Covered Entity Signing Official

Paulo A. Soares, CEO
(559) 664-4089

Contract Pharmacy Representative

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

Signed By Date

1/14/2020

340B Drug Pricing Program Database