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WALGREEN CO.
CH061610 Coastal Health & Wellness
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Covered Entity Details
Entity Name
Coastal Health & Wellness
Subdivision Name
Administration
Type
HRSA-Funded Health Center
340B ID
CH061610
Entity Address
9850 Emmett F Lowry Expy
Texas City, TX 77591
Grant Number
H80CS00344
Participating Start Date
4/1/1996
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05833
1801 FM 1765
LA MARQUE, TX 77568
Pharmacy Comments
05/03/2012 updated address (was 1801 FM 1765 Road)
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ami Cotharn, Chief Operating Officer
(409) 938-2218
Contract Pharmacy Representative
Walgreens
Karl Meehan, VP Health System Programs
(847) 315-2663
Signed By Date
7/15/2024
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