340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREENS MAIL SERVICE, INC.
CH09122P BAY AREA COMMUNITY HEALTH
Print
Covered Entity Details
Entity Name
BAY AREA COMMUNITY HEALTH
Subdivision Name
Monterey Plaza Health Clinic
Type
HRSA-Funded Health Center
340B ID
CH09122P
Entity Address
5504 Monterey Hwy
San Jose, CA 95138-1529
Grant Number
H80CS02326
Participating Start Date
10/1/2020
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
WALGREENS MAIL SERVICE, INC.
Pharmacy Address
8337 S PARK CIRCLE
ORLANDO, FL 32819-9049
Pharmacy Comments
Contract Details
Approval Date
8/27/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/11/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Zettie D Page, CEO
(760) 902-5249
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
8/27/2020
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