Contract Pharmacy Details

WALGREEN CO
CHC24175-00 FAMILY AND MEDICAL COUNSELING SERVICE, INC.

Covered Entity Details

Entity Name

FAMILY AND MEDICAL COUNSELING SERVICE, INC.

Subdivision Name

Family and Medical Counseling Service, Inc.

Type

HRSA-Funded Health Center

340B ID

CHC24175-00

Entity Address

2041 Martin Luther King Jr Ave SE
STE 303
Washington, DC 20020-7036

Grant Number

H80CS24175

Participating Start Date

7/1/2013

Last Recertification Date

2/23/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO

Pharmacy Address

DBA: WALGREENS #10071
1217 22ND ST. NW
WASHINGTON, DC 20037-1203

Pharmacy Comments

Contract Details

Approval Date

4/10/2015

Contract Begin Date

7/1/2015

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Flora Terrell Hamilton, CEO
(202) 889-7900 Ext: 217

Contract Pharmacy Representative

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

Signed By Date

4/10/2015

340B Drug Pricing Program Database