340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH052090 MILWAUKEE HEALTH SERVICES, INC.
Print
Covered Entity Details
Entity Name
MILWAUKEE HEALTH SERVICES, INC.
Subdivision Name
MILWAUKEE HEALTH SERVICES, INC.
Type
HRSA-Funded Health Center
340B ID
CH052090
Entity Address
2555 N Dr Martin Luther King Dr
Milwaukee, WI 53212-2709
Grant Number
H80CS00826
Participating Start Date
12/1/1992
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03578
2275 NORTH MAYFAIR ROAD
WAUWATOSA, WI 53226
Pharmacy Comments
Contract Details
Approval Date
10/6/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tito Izard, President/CEO
(414) 267-2021
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/6/2015
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session