Contract Pharmacy Details

WALGREEN CO.
STD85012 Spectrum Medical Care Center

Covered Entity Details

Entity Name

Spectrum Medical Care Center

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD85012

Entity Address

52 E Monterey Way
Suite A
Phoenix, AZ 85012

Grant Number

1 NU62PS924550-01-00

Participating Start Date

1/1/2019

Last Recertification Date

5/7/2024

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS SPECIALTY PHARMACY #16317
335 MASSACHUSETTS AVENUE
INDIANAPOLIS, IN 46204

Pharmacy Comments

Contract Details

Approval Date

1/11/2025

Contract Begin Date

4/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Amy Sneor, Chief Executive Officer
(602) 604-9500

Contract Pharmacy Representative

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

Signed By Date

1/11/2025

340B Drug Pricing Program Database