Contract Pharmacy Details

WALGREENS SPECIALTY PHARMACY, LLC
CH11355-00 FIRST CARE CLINIC, INC.

Covered Entity Details

Entity Name

FIRST CARE CLINIC, INC.

Subdivision Name

First Care Clinic, Inc.

Type

HRSA-Funded Health Center

340B ID

CH11355-00

Entity Address

105 W. 13th Street
Hays, KS 67601

Grant Number

H80CS12891

Participating Start Date

10/1/2016

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREENS SPECIALTY PHARMACY, LLC

Pharmacy Address

DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188

Pharmacy Comments

Contract Details

Approval Date

1/15/2021

Contract Begin Date

4/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Bryan Brady, CEO
(785) 621-4990

Contract Pharmacy Representative

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

Signed By Date

1/15/2021

340B Drug Pricing Program Database