Contract Pharmacy Details

WALGREEN CO.
STD92223 Loma Linda University

Covered Entity Details

Entity Name

Loma Linda University

Subdivision Name

Infectious Disease

Type

Sexually Transmitted Diseases

340B ID

STD92223

Entity Address

81 South Highland Springs Ave.
Beaumont, CA 92223

Grant Number

1H25PS005127

Participating Start Date

4/1/2025

Last Recertification Date

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 05478
6701 CARNELIAN ST
RANCHO CUCAMONGA, CA 91701

Pharmacy Comments

Contract Details

Approval Date

1/29/2025

Contract Begin Date

4/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Travis Losey, Vice President for Research Affairs
(909) 558-8544

Contract Pharmacy Representative

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

Signed By Date

1/14/2025

340B Drug Pricing Program Database