Contract Pharmacy Details

WALGREEN CO.
CH101030 YAKIMA VALLEY FARM WORKERS CLINIC

Covered Entity Details

Entity Name

YAKIMA VALLEY FARM WORKERS CLINIC

Subdivision Name

YVFWC - TOPPENISH

Type

HRSA-Funded Health Center

340B ID

CH101030

Entity Address

510 W 1st Ave
Toppenish, WA 98948-1564

Grant Number

H80CS00639

Participating Start Date

12/1/1992

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #10946
2830 S. GRAND BLVD.
SPOKANE, WA 99203

Pharmacy Comments

Contract Details

Approval Date

2/22/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

JUAN CARLOS OLIVARES, CEO
(509) 865-5898

Contract Pharmacy Representative

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

Signed By Date

1/15/2013

340B Drug Pricing Program Database