Contract Pharmacy Details

WALGREENS SPECIALTY PHARMACY, LLC
CHC28361-00 SUMMIT COMMUNITY CARE CLINIC

Covered Entity Details

Entity Name

SUMMIT COMMUNITY CARE CLINIC

Subdivision Name

Summit Community Care Clinic, Inc.

Type

HRSA-Funded Health Center

340B ID

CHC28361-00

Entity Address

360 Peak One Drive STE 100
Frisco, CO 80443

Grant Number

H80CS28361

Participating Start Date

10/1/2015

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

WALGREENS SPECIALTY PHARMACY, LLC

Pharmacy Address

DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188

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

Susan Robertson, Interim Chief Executive Officer
(970) 822-8616

Contract Pharmacy Representative

Walgreens
Brenda Motley, Operations Analyst
(847) 964-7033

Signed By Date

4/7/2023

340B Drug Pricing Program Database