Contract Pharmacy Details

WALGREEN CO.
CH06071E CROSS TIMBERS HEALTH CLINICS, INC.

Covered Entity Details

Entity Name

CROSS TIMBERS HEALTH CLINICS, INC.

Subdivision Name

ACCELHEALTH - BROWNWOOD MAIN

Type

HRSA-Funded Health Center

340B ID

CH06071E

Entity Address

2100 Crockett Drive
Brownwood, TX 76801-5913

Grant Number

H80CS00124

Participating Start Date

1/1/2013

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 09040
2315 W WASHINGTON ST
STEPHENVILLE, TX 76401-6805

Pharmacy Comments

Contract Details

Approval Date

4/8/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Esther Taylor, Chief Executive Officer
(254) 893-5895 Ext: 1023

Contract Pharmacy Representative

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

Signed By Date

4/8/2024

340B Drug Pricing Program Database