Contract Pharmacy Details

WALGREEN CO.
CH09228A COMMUNITY HEALTH ALLIANCE

Covered Entity Details

Entity Name

COMMUNITY HEALTH ALLIANCE

Subdivision Name

Community Health Alliance Wells Avenue Medical/Dental Center

Type

HRSA-Funded Health Center

340B ID

CH09228A

Entity Address

1055 S Wells Ave
Reno, NV 89502

Grant Number

H80CS00539

Participating Start Date

7/1/2010

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #11227
2299 ODDIE BLVD.
SPARKS, NV 89431

Pharmacy Comments

Contract Details

Approval Date

3/22/2012

Contract Begin Date

3/22/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/6/2015
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Daniel Ahern, CEO
(775) 336-3011

Contract Pharmacy Representative

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

Signed By Date

3/8/2012

340B Drug Pricing Program Database