340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
FQHCLA480A Crossover Health Services, Inc.
Print
Covered Entity Details
Entity Name
Crossover Health Services, Inc.
Subdivision Name
Crossover Health Services at 36th Street
Type
Health Center Program Look-Alike
340B ID
FQHCLA480A
Entity Address
940 E 36th St N
Tulsa, OK 74106-1953
Grant Number
LALCS54597
Participating Start Date
4/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #15762
11650 E 86TH ST N
OWASSO, OK 74055
Pharmacy Comments
Contract Details
Approval Date
3/10/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Whitaker, CEO
(918) 724-9020
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2025
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