Contract Pharmacy Details

WALGREEN CO.
RWII78756 Texas Health Action

Covered Entity Details

Entity Name

Texas Health Action

Subdivision Name

Type

Ryan White Part B

340B ID

RWII78756

Entity Address

101 W. Koenig Ln
Suite 100
Austin, TX 78751

Grant Number

X07 - HA00054

Participating Start Date

10/1/2019

Last Recertification Date

3/4/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #13446
1509 E. WELLS BRANCH PKWY.
PFLUGERVILLE, TX 78660

Pharmacy Comments

Contract Details

Approval Date

4/15/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Chris Adams, CFO
(512) 643-8770

Contract Pharmacy Representative

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

Signed By Date

4/15/2022

340B Drug Pricing Program Database