340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH11355-02 FIRST CARE CLINIC
Print
Covered Entity Details
Entity Name
FIRST CARE CLINIC
Subdivision Name
First Care Clinic, Inc. - 22nd Street
Type
HRSA-Funded Health Center
340B ID
CH11355-02
Entity Address
1923 E 22nd St
Hays, KS 67601
Grant Number
H80CS12891
Participating Start Date
8/22/2022
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16517
803 N BROADWAY AVE
WICHITA, KS 67214
Pharmacy Comments
Contract Details
Approval Date
4/14/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/5/2023
Agreement registered in error
Contacts
Covered Entity Signing Official
Eric C Flax, CEO
(785) 621-4990
Contract Pharmacy Representative
Walgreens
Edwin Raff, DVP Contracting & Pricing
(847) 964-6198
Signed By Date
4/14/2023
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