Contract Pharmacy Details

WALGREEN CO.
CHC24107-00 GENESIS COMMUNITY HEALTH, INC.

Covered Entity Details

Entity Name

GENESIS COMMUNITY HEALTH, INC.

Subdivision Name

Genesis Community Health

Type

HRSA-Funded Health Center

340B ID

CHC24107-00

Entity Address

709 South Federal Hwy
Suite 3
Boynton Beach, FL 33435-6033

Grant Number

H80CS24107

Participating Start Date

10/1/2012

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 00074
1634 S FEDERAL HWY
BOYNTON BEACH, FL 33435

Pharmacy Comments

Contract Details

Approval Date

10/26/2012

Contract Begin Date

10/26/2012

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

DeAnna Warren, Executive Director
(561) 806-6835 Ext: 201

Contract Pharmacy Representative

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

Signed By Date

10/12/2012

340B Drug Pricing Program Database