340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH07731C COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC
Print
Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC
Subdivision Name
CHC/SEIA Louisa County Clinic
Type
HRSA-Funded Health Center
340B ID
CH07731C
Entity Address
2409 Spring Street
Columbus City, IA 52737
Grant Number
H80CS00272
Participating Start Date
7/1/2009
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09476
201 S CENTRAL AVENUE
BURLINGTON, IA 52601-5738
Pharmacy Comments
Contract Details
Approval Date
7/14/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
RONALD KEMP, CEO
(319) 753-2300 Ext: 100
Contract Pharmacy Representative
Terri Ward, VP
(847) 964-6798
Signed By Date
7/14/2017
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