Contract Pharmacy Details

WALGREEN CO.
CHC24132-00 KNOX, COUNTY OF

Covered Entity Details

Entity Name

KNOX, COUNTY OF

Subdivision Name

Knox Community Health Center

Type

HRSA-Funded Health Center

340B ID

CHC24132-00

Entity Address

1361 W Fremont St
Galesburg, IL 61401-2436

Grant Number

H80CS24132

Participating Start Date

1/1/2014

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #11881
600 N MAIN ST
MONMOUTH, IL 61462

Pharmacy Comments

Contract Details

Approval Date

10/5/2021

Contract Begin Date

1/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Michele Gabriel, CEO
(309) 344-2224 Ext: 222

Contract Pharmacy Representative

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

Signed By Date

10/5/2021

340B Drug Pricing Program Database