Contract Pharmacy Details

WALGREEN CO
CHC28352-02 ISABELLA CITIZENS FOR HEALTH, INC.

Covered Entity Details

Entity Name

ISABELLA CITIZENS FOR HEALTH, INC.

Subdivision Name

Isabella Citizens for Health

Type

HRSA-Funded Health Center

340B ID

CHC28352-02

Entity Address

2790 Health Pkwy
Mount Pleasant, MI 48858

Grant Number

H80CS28352

Participating Start Date

1/1/2020

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO

Pharmacy Address

DBA: WALGREENS #11887
1141 N MCEWAN ST
CLARE, MI 48617-1107

Pharmacy Comments

Contract Details

Approval Date

2/26/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Jennifer White, Chief Executive Officer
(989) 953-5191 Ext: 1

Contract Pharmacy Representative

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

Signed By Date

2/26/2020

340B Drug Pricing Program Database