Contract Pharmacy Details

WALGREEN CO.
CH059030 COMMUNITY HEALTH SYSTEMS, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH SYSTEMS, INC.

Subdivision Name

Corporate Office

Type

HRSA-Funded Health Center

340B ID

CH059030

Entity Address

74 Eclipse Ctr
BELOIT, WI 53511-3550

Grant Number

H80CS00676

Participating Start Date

1/1/1999

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

WALGREENS SPECIALTY PHARMACY #21184
5503 E STATE ST
ROCKFORD, IL 61108

Pharmacy Comments

Contract Details

Approval Date

7/14/2022

Contract Begin Date

10/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Caryn Davis, Director of Finance
(608) 299-3302

Contract Pharmacy Representative

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

Signed By Date

7/14/2022

340B Drug Pricing Program Database