Contract Pharmacy Details

WALGREEN CO.
CH045180 COMMUNITY HEALTH CARE SYSTEMS INC

Covered Entity Details

Entity Name

COMMUNITY HEALTH CARE SYSTEMS INC

Subdivision Name

COMMUNITY HEALTH CARE SYSTEMS, INC.

Type

HRSA-Funded Health Center

340B ID

CH045180

Entity Address

2251 W Elm St
Wrightsville, GA 31096-2017

Grant Number

H80CS00507

Participating Start Date

11/28/2005

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 06950
1280 GRAY HWY
MACON, GA 31211-1921

Pharmacy Comments

Contract Details

Approval Date

2/8/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/9/2023
Pharmacy closed

Contacts

Covered Entity Signing Official

Carla Belcher, CEO
(478) 552-7384 Ext: 1211

Contract Pharmacy Representative

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

Signed By Date

1/18/2013

340B Drug Pricing Program Database