340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
FQHCLA421B TARZANA TREATMENT CENTER, INC.
Print
Covered Entity Details
Entity Name
TARZANA TREATMENT CENTER, INC.
Subdivision Name
Tarzana Treatment Centers- Antelope Valley Family Medical Clinic
Type
Health Center Program Look-Alike
340B ID
FQHCLA421B
Entity Address
907 W Lancaster Blvd
Lancaster, CA 93534-2305
Grant Number
LALCS40177
Participating Start Date
4/1/2021
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06648
18430 SHERMAN WAY
RESEDA, CA 91335-4305
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
7/27/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ALBERT M. SENELLA, PRESIDENT AND CEO
(818) 654-3815
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/15/2021
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