Contract Pharmacy Details

WALGREEN CO.
CH07117Y COMMUNITY HEALTH CARE, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH CARE, INC.

Subdivision Name

Edgerton Women's Health Center

Type

HRSA-Funded Health Center

340B ID

CH07117Y

Entity Address

1510 E Rusholme St
Davenport, IA 52803

Grant Number

H80CS00670

Participating Start Date

7/1/2016

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04041
1525 E KIMBERLY RD
DAVENPORT, IA 52807

Pharmacy Comments

Contract Details

Approval Date

7/14/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Thomas Bowman, CEO
(563) 336-3112

Contract Pharmacy Representative

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

Signed By Date

7/14/2023

340B Drug Pricing Program Database