Contract Pharmacy Details

WALGREEN EASTERN CO. INC.
CH031839C Esperanza Health Center, Inc.

Covered Entity Details

Entity Name

Esperanza Health Center, Inc.

Subdivision Name

Esperanza Health Center

Type

HRSA-Funded Health Center

340B ID

CH031839C

Entity Address

4417 N 6th St
Philadelphia, PA 19140-2319

Grant Number

H80CS06644

Participating Start Date

10/1/2011

Last Recertification Date

2/17/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO. INC.

Pharmacy Address

DBA:WALGREENS #15336
1 SOUTH BROAD STREET
PHILADELPHIA, PA 19107

Pharmacy Comments

Contract Details

Approval Date

1/11/2017

Contract Begin Date

4/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/28/2022
Pharmacy closed

Contacts

Covered Entity Signing Official

Juan Perez, COO
(215) 807-8616

Contract Pharmacy Representative

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

Signed By Date

1/11/2017

340B Drug Pricing Program Database