Contract Pharmacy Details

WALGREEN CO.
CHC12892-00 ROCKING HORSE CENTER

Covered Entity Details

Entity Name

ROCKING HORSE CENTER

Subdivision Name

Type

HRSA-Funded Health Center

340B ID

CHC12892-00

Entity Address

651 SOUTH LIMESTONE STREET
SPRINGFIELD, OH 45505

Grant Number

H80CS12892

Participating Start Date

7/1/2009

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS SPECIALTY PHARMACY #16523
1200 BROWN ST STE 160
DAYTON, OH 45409

Pharmacy Comments

Contract Details

Approval Date

7/19/2017

Contract Begin Date

10/1/2017

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Kent Youngman, CEO
(937) 324-1111 Ext: 190

Contract Pharmacy Representative

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

Signed By Date

7/19/2017

340B Drug Pricing Program Database