Contract Pharmacy Details

WALGREEN CO.
RW4248191 CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

Arlington

Type

Ryan White Part D

340B ID

RW4248191

Entity Address

601 Matlock Centre Circle
Arlington, TX 76015

Grant Number

H12HA24819

Participating Start Date

7/1/2023

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 03910
100 SE GREEN OAKS BLVD
ARLINGTON, TX 76018

Pharmacy Comments

Contract Details

Approval Date

7/16/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127

Contract Pharmacy Representative

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

Signed By Date

7/16/2023

340B Drug Pricing Program Database