340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CHC28994-00 SAN FERNANDO COMMUNITY HOSPITAL
Print
Covered Entity Details
Entity Name
SAN FERNANDO COMMUNITY HOSPITAL
Subdivision Name
San Fernando Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC28994-00
Entity Address
732 Mott Street, Suite 100
San Fernando, CA 91340-4237
Grant Number
H80CS28994
Participating Start Date
1/1/2016
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15293
4940 VAN NUYS BLVD STE 104
SHERMAN OAKS, CA 91403
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Audrey L Simons, CEO
(818) 963-5690 Ext: 107
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/14/2025
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