340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH05096M COMMUNITY & RURAL HEALTH SERVICES
Print
Covered Entity Details
Entity Name
COMMUNITY & RURAL HEALTH SERVICES
Subdivision Name
Community Health Services - Bellevue
Type
HRSA-Funded Health Center
340B ID
CH05096M
Entity Address
1255 West Main Street
Bellevue, OH 44811
Grant Number
H80CS00661
Participating Start Date
4/1/2023
Last Recertification Date
1/29/2024
Entity Termination Date
10/1/2024
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
Contract Termination Date
Termination Reason
10/1/2024
Covered Entity Terminated
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