Contract Pharmacy Details

WALGREEN CO.
CH092420 OLE HEALTH

Covered Entity Details

Entity Name

OLE HEALTH

Subdivision Name

OLE Health - North Napa Campus

Type

HRSA-Funded Health Center

340B ID

CH092420

Entity Address

1141 PEAR TREE LANE
Suite 100
NAPA, CA 94558-6485

Grant Number

H80CS04219

Participating Start Date

10/1/2004

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04198
1351 W CAPITOL AVE
WEST SACRAMENTO, CA 95691

Pharmacy Comments

Contract Details

Approval Date

4/7/2023

Contract Begin Date

7/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Kevin E. Moses, Legal Officer
(707) 254-1774 Ext: 8222

Contract Pharmacy Representative

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

Signed By Date

4/7/2023

340B Drug Pricing Program Database