340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH053060 Sixteenth Street Community Health Centers, Inc.
Print
Covered Entity Details
Entity Name
Sixteenth Street Community Health Centers, Inc.
Subdivision Name
Sixteenth Street Community Health Centers-Chavez
Type
HRSA-Funded Health Center
340B ID
CH053060
Entity Address
1032 S Cesar E Chavez Dr
MILWAUKEE, WI 53204
Grant Number
H80CS00593
Participating Start Date
10/1/1996
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS SPECIALTY PHARMACY #15322
826 N PLANKINTON AVE STE 100
MILWAUKEE, WI 53203
Pharmacy Comments
Formally Bioscrip Pharmacy
Contract Details
Approval Date
2/14/2014
Contract Begin Date
5/7/2013
Carve-In Effective Date
Contract Comments
02/14/2014 Contract begin date adjusted to reflect ownership change (Formally Bioscrip Pharmacy)
Contacts
Covered Entity Signing Official
JOHN BARTKOWSKI, CEO
(414) 672-6220
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
5/7/2013
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