340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH050960 COMMUNITY AND RURAL HEALTH SERVICES
Print
Covered Entity Details
Entity Name
COMMUNITY AND RURAL HEALTH SERVICES
Subdivision Name
Main Site
Type
HRSA-Funded Health Center
340B ID
CH050960
Entity Address
2221 Hayes Avenue
FREMONT, OH 43420
Grant Number
H80CS00661
Participating Start Date
7/1/1998
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #21156
3500 WASHTENAW AVE STE E3
ANN ARBOR, MI 48104
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
JOSEPH LISZAK, CEO
(419) 334-8943 Ext: 225
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/14/2023
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