Contract Pharmacy Details

WALGREEN CO.
CH040670 BIG SANDY HEALTH CARE, INC.

Covered Entity Details

Entity Name

BIG SANDY HEALTH CARE, INC.

Subdivision Name

BIG SANDY HEALTH CARE, INC.

Type

HRSA-Funded Health Center

340B ID

CH040670

Entity Address

1709 Ky Route 321
Prestonsburg, KY 41653

Grant Number

H80CS00619

Participating Start Date

12/1/1992

Last Recertification Date

2/27/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

WALGREENS #17328
9485 HIGHWAY 805
JENKINS, KY 41537

Pharmacy Comments

Contract Details

Approval Date

4/1/2025

Contract Begin Date

7/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

James William Herald, Chief Executive Officer
(606) 886-8546 Ext: 1106

Contract Pharmacy Representative

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

Signed By Date

4/1/2025

340B Drug Pricing Program Database