Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CH031839C Esperanza Health Center, Inc.

Covered Entity Details

Entity Name

Esperanza Health Center, Inc.

Subdivision Name

Esperanza Health Center

Type

HRSA-Funded Health Center

340B ID

CH031839C

Entity Address

4417 N 6th St
Philadelphia, PA 19140-2319

Grant Number

H80CS06644

Participating Start Date

10/1/2011

Last Recertification Date

2/17/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA WALGREENS SPECIALTY PHARMACY #21251
3550 MARKET ST STE 103
PHILADELPHIA, PA 19104

Pharmacy Comments

Contract Details

Approval Date

4/5/2021

Contract Begin Date

7/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Juan Perez, COO
(215) 807-8616

Contract Pharmacy Representative

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

Signed By Date

4/5/2021

340B Drug Pricing Program Database