Contract Pharmacy Details

WALGREEN CO.
CH093540 NEIGHBORHOOD HEALTHCARE

Covered Entity Details

Entity Name

NEIGHBORHOOD HEALTHCARE

Subdivision Name

RAY M. DICKINSON WELLNESS CENTER

Type

HRSA-Funded Health Center

340B ID

CH093540

Entity Address

425 N. DATE ST
ESCONDIDO, CA 92025-3413

Grant Number

H80CS00285

Participating Start Date

4/1/1996

Last Recertification Date

3/6/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #11406
10512 MISSION GORGE RD
SANTEE, CA 92071-3146

Pharmacy Comments

Contract Details

Approval Date

12/29/2011

Contract Begin Date

12/29/2011

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/21/2017
Pharmacy closed

Contacts

Covered Entity Signing Official

TRACY REAM, CEO
(760) 520-8375

Contract Pharmacy Representative

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

Signed By Date

12/20/2011

340B Drug Pricing Program Database