Contract Pharmacy Details

WALGREEN CO.
CHC28985-01 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION

Covered Entity Details

Entity Name

CENTRAL NEIGHBORHOOD HEALTH FOUNDATION

Subdivision Name

Central Neighborhood Health Foundation

Type

HRSA-Funded Health Center

340B ID

CHC28985-01

Entity Address

2707 South Central Avenue
Los Angeles, CA 90011-5527

Grant Number

H80CS28985

Participating Start Date

1/1/2016

Last Recertification Date

3/6/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA WALGREENS SPECIALTY PHARMACY #03815
111 S MAIN ST
ORANGE, CA 92868

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