Contract Pharmacy Details

WALGREEN CO.
CHC39465-05 CATHERINE'S HEALTH CENTER

Covered Entity Details

Entity Name

CATHERINE'S HEALTH CENTER

Subdivision Name

Cross Roads Bible Church

Type

HRSA-Funded Health Center

340B ID

CHC39465-05

Entity Address

800 Scribner Ave NW
Grand Rapids, MI 49504-4424

Grant Number

H80CS39465

Participating Start Date

1/1/2024

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04299
2829 DIVISION AVE S.
WYOMING, MI 49548

Pharmacy Comments

Contract Details

Approval Date

10/15/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/9/2023
Pharmacy closed

Contacts

Covered Entity Signing Official

Sara R Brooks, Director of Operations
(616) 336-8800

Contract Pharmacy Representative

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

Signed By Date

10/15/2023

340B Drug Pricing Program Database