Contract Pharmacy Details

WALGREEN CO.
CH053300 HAMILTON COMMUNITY HEALTH NETWORK, INC.

Covered Entity Details

Entity Name

HAMILTON COMMUNITY HEALTH NETWORK, INC.

Subdivision Name

Hamilton Community Health Network, Inc. - New Main

Type

HRSA-Funded Health Center

340B ID

CH053300

Entity Address

2900 N. Saginaw
Flint, MI 48505-4452

Grant Number

H80CS00435

Participating Start Date

1/1/2000

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #12971
571 S MAIN ST
LAPEER, MI 48446

Pharmacy Comments

Contract Details

Approval Date

10/6/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

CLARENCE PIERCE, CEO
(810) 406-4951

Contract Pharmacy Representative

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

Signed By Date

10/6/2023

340B Drug Pricing Program Database