Contract Pharmacy Details

WALGREEN CO.
CHC28361-00 SUMMIT COMMUNITY CARE CLINIC

Covered Entity Details

Entity Name

SUMMIT COMMUNITY CARE CLINIC

Subdivision Name

Summit Community Care Clinic, Inc.

Type

HRSA-Funded Health Center

340B ID

CHC28361-00

Entity Address

360 Peak One Drive STE 100
Frisco, CO 80443

Grant Number

H80CS28361

Participating Start Date

10/1/2015

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA WALGREENS SPECIALTY PHARMACY #16531
15 N UNION BLVD UNIT 120
COLORADO SPRINGS, CO 80909

Pharmacy Comments

Contract Details

Approval Date

10/15/2021

Contract Begin Date

1/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/11/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Helen Royal, CEO
(970) 668-6883

Contract Pharmacy Representative

Walgreens
Brenda Motley, Operations Analyst
(847) 964-7033

Signed By Date

10/15/2021

340B Drug Pricing Program Database