Contract Pharmacy Details

WALGREEN CO.
CHC26592-00 Coastal Community Health Services, Inc.

Covered Entity Details

Entity Name

Coastal Community Health Services, Inc.

Subdivision Name

Coastal Community Health Services

Type

HRSA-Funded Health Center

340B ID

CHC26592-00

Entity Address

106 Shoppers Way, Unit 1
Brunswick, GA 31525

Grant Number

H80CS26592

Participating Start Date

10/1/2014

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04325
4297 OLDFIELD CROSSING DR.
JACKSONVILLE, FL 32223

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

Kavanaugh Chandler, CEO
(912) 275-8028 Ext: 1139

Contract Pharmacy Representative

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

Signed By Date

4/14/2025

340B Drug Pricing Program Database