Contract Pharmacy Details

WALGREEN CO.
CH041660 Community Health Centers, Inc.

Covered Entity Details

Entity Name

Community Health Centers, Inc.

Subdivision Name

COMMUNITY HEALTH CENTERS, INC.

Type

HRSA-Funded Health Center

340B ID

CH041660

Entity Address

110 S Woodland St
Winter Garden, FL 34787-3546

Grant Number

H80CS00809

Participating Start Date

12/1/1992

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

WALGREENS #16404
885 W STATE ROAD 436
ALTAMONTE SPRINGS, FL 32714

Pharmacy Comments

Contract Details

Approval Date

1/4/2022

Contract Begin Date

4/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Debra Sue Andree, President / Chief Executive Officer
(407) 905-8827 Ext: 1212

Contract Pharmacy Representative

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

Signed By Date

1/4/2022

340B Drug Pricing Program Database