Contract Pharmacy Details

WALGREEN CO.
CHC26614-00 APLA HEALTH & WELLNESS

Covered Entity Details

Entity Name

APLA HEALTH & WELLNESS

Subdivision Name

APLA Health & Wellness Center

Type

HRSA-Funded Health Center

340B ID

CHC26614-00

Entity Address

3743 S. La Brea Ave.
Los Angeles, CA 90016-5309

Grant Number

H80CS26614

Participating Start Date

7/1/2014

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA WALGREENS SPECIALTY PHARMACY #15293
4940 VAN NUYS BLVD STE 104
SHERMAN OAKS, CA 91403

Pharmacy Comments

Contract Details

Approval Date

10/13/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Craig E. Thompson, Chief Executive Officer
(213) 201-1456

Contract Pharmacy Representative

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

Signed By Date

10/13/2020

340B Drug Pricing Program Database