340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH061949L LONE STAR CIRCLE OF CARE
Print
Covered Entity Details
Entity Name
LONE STAR CIRCLE OF CARE
Subdivision Name
Lone Star Circle of Care at Lake Aire Medical Center
Type
HRSA-Funded Health Center
340B ID
CH061949L
Entity Address
2423 Williams Drive
Georgetown, TX 78628-3200
Grant Number
H80CS04289
Participating Start Date
10/1/2009
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12569
1220 W. UNIVERSITY AVE.
GEORGETOWN, TX 78628
Pharmacy Comments
06/07/2012 corrected store # (was #12579)
Contract Details
Approval Date
10/2/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Pete Perialas, CEO
(512) 686-0624
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/2/2013
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