340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH08165Y CLINICA CAMPESINA/FAMILY HEALTH SERVICES
Print
Covered Entity Details
Entity Name
CLINICA CAMPESINA/FAMILY HEALTH SERVICES
Subdivision Name
Columbine Elementary School
Type
HRSA-Funded Health Center
340B ID
CH08165Y
Entity Address
3130 Repplier St
Boulder, CO 80304-2745
Grant Number
H80CS00690
Participating Start Date
7/1/2024
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #19103
4800 BASELINE RD STE E-107
BOULDER, CO 80303-2643
Pharmacy Comments
Contract Details
Approval Date
4/29/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Simon Smith, CEO
(303) 665-3036 Ext: 1003
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/10/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session