Contract Pharmacy Details

WALGREEN CO.
CHC28985-23 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION

Covered Entity Details

Entity Name

CENTRAL NEIGHBORHOOD HEALTH FOUNDATION

Subdivision Name

CNHF - Mobile Care Clinic #3

Type

HRSA-Funded Health Center

340B ID

CHC28985-23

Entity Address

1329 N H St
San Bernardino, CA 92405-5039

Grant Number

H80CS28985

Participating Start Date

4/1/2024

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 05773
11800 ARTESIA BLVD
ARTESIA, CA 90701

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

James Walter, Chief Operating Officer
(213) 910-8845

Contract Pharmacy Representative

Walgreens
Ruthann Archer, Director of 340B Operations
(847) 964-8116

Signed By Date

4/14/2025

340B Drug Pricing Program Database