Contract Pharmacy Details

WALGREEN CO.
CH09157O NEVADA HEALTH CENTERS, INC.

Covered Entity Details

Entity Name

NEVADA HEALTH CENTERS, INC.

Subdivision Name

CARLIN COMMUNITY HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH09157O

Entity Address

310 MEMORY LANE
CARLIN, NV 89822-9902

Grant Number

H80CS00818

Participating Start Date

10/1/2000

Last Recertification Date

2/28/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04788
1465 E WILLIAM ST
CARSON CITY, NV 89701

Pharmacy Comments

Contract Details

Approval Date

1/13/2023

Contract Begin Date

4/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Kathryn Triplett, CFO
(775) 888-6632

Contract Pharmacy Representative

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

Signed By Date

1/13/2023

340B Drug Pricing Program Database