Contract Pharmacy Details

WALGREEN ARIZONA DRUG CO.
CHC24153-00 ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA, INC.

Covered Entity Details

Entity Name

ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA, INC.

Subdivision Name

Asian American Health Coalition of the Greater Houston Area

Type

HRSA-Funded Health Center

340B ID

CHC24153-00

Entity Address

7001 Corporate Dr STE 120
Houston, TX 77036-5139

Grant Number

H80CS24153

Participating Start Date

1/1/2013

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN ARIZONA DRUG CO.

Pharmacy Address

WALGREENS CENTRAL FILL #21372
120 N 83RD AVE
STE 200
TOLLESON, AZ 85353

Pharmacy Comments

Contract Details

Approval Date

7/14/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Andrea Caracostis, Chief Executive Officer
(713) 337-3640

Contract Pharmacy Representative

Walgreens
Sharon Huiett, Analyst, 340B Client Relationship
(847) 964-8687

Signed By Date

7/14/2021

340B Drug Pricing Program Database