Contract Pharmacy Details

WALGREEN CO.
CHC24197-01 Health Services of North Texas, Inc.

Covered Entity Details

Entity Name

Health Services of North Texas, Inc.

Subdivision Name

HSNT Denton Medical Center 4308

Type

HRSA-Funded Health Center

340B ID

CHC24197-01

Entity Address

4308 Mesa Dr
Denton, TX 76207-3459

Grant Number

H80CS24197

Participating Start Date

10/1/2014

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 06759
4001 FM 2181
CORINTH, TX 76210

Pharmacy Comments

Contract Details

Approval Date

4/15/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Doreen Rue, CEO
(940) 381-1501 Ext: 3001

Contract Pharmacy Representative

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

Signed By Date

4/15/2020

340B Drug Pricing Program Database