Contract Pharmacy Details

WALGREEN CO.
CHC28967-01 Hope Christian Health Center Corp

Covered Entity Details

Entity Name

Hope Christian Health Center Corp

Subdivision Name

Hope Christian Health Center MLK

Type

HRSA-Funded Health Center

340B ID

CHC28967-01

Entity Address

4040 N MLK Blvd Suite A
North Las Vegas, NV 89032

Grant Number

H80CS28967

Participating Start Date

10/1/2018

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #10862
2421 E BONANZA RD
LAS VEGAS, NV 89101

Pharmacy Comments

Contract Details

Approval Date

10/7/2022

Contract Begin Date

1/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Steven Flores, CEO
(702) 644-4673 Ext: 203

Contract Pharmacy Representative

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

Signed By Date

10/7/2022

340B Drug Pricing Program Database