Contract Pharmacy Details

WALGREEN CO.
CHC10608-14 CENTRAL CITY COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

CENTRAL CITY COMMUNITY HEALTH CENTER, INC.

Subdivision Name

Central City Community Health Center - Anaheim #2

Type

HRSA-Funded Health Center

340B ID

CHC10608-14

Entity Address

2243 W. Ball Road
Anaheim, CA 92804-5314

Grant Number

H80CS10608

Participating Start Date

1/1/2016

Last Recertification Date

2/24/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 06446
11900 BEACH BLVD
STANTON, CA 90680

Pharmacy Comments

Contract Details

Approval Date

10/13/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Sommer R Kaskowitz, Chief Nursing Officer
(323) 724-0019 Ext: 1026

Contract Pharmacy Representative

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

Signed By Date

10/13/2023

340B Drug Pricing Program Database