340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN OF HAWAII LLC
CH093410 KOKUA KALIHI VALLEY COMPREHENSVIE FAMILY SERVICES
Print
Covered Entity Details
Entity Name
KOKUA KALIHI VALLEY COMPREHENSVIE FAMILY SERVICES
Subdivision Name
KOKUA KALIHI VALLEY MAIN CLINIC
Type
HRSA-Funded Health Center
340B ID
CH093410
Entity Address
2239 North School Street
HONOLULU, HI 96819
Grant Number
H80CS00776
Participating Start Date
7/1/1995
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN OF HAWAII LLC
Pharmacy Address
DBA: WALGREENS #16272 SPECIALTY PHARMACY
615 PIIKOI ST STE 105
HONOLULU, HI 96814
Pharmacy Comments
Contract Details
Approval Date
4/6/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAVID DERAUF, Executive Director
(808) 791-9415
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/6/2017
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