340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO
CH061610 Coastal Health & Wellness
Print
Covered Entity Details
Entity Name
Coastal Health & Wellness
Subdivision Name
Administration
Type
HRSA-Funded Health Center
340B ID
CH061610
Entity Address
9850 Emmett F Lowry Expy
Texas City, TX 77591
Grant Number
H80CS00344
Participating Start Date
4/1/1996
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
710 OVILLA ROAD
WAXAHACHIE, TX 75167
Pharmacy Comments
08/15/2012 Distribution Center
Contract Details
Approval Date
2/21/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/12/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
HARLAN MARK GUIDRY, CEO
(409) 938-2401
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2013
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