340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
PED453315-00 CHRISTUS Children's
Print
Covered Entity Details
Entity Name
CHRISTUS Children's
Subdivision Name
Type
Children's Hospital
340B ID
PED453315-00
Entity Address
333 North Santa Rosa Street
San Antonio, TX 78207
Medicare Provider Number
453315
Participating Start Date
4/1/2014
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06335
14025 NACOGDOCHES RD
SAN ANTONIO, TX 78247-1918
Pharmacy Comments
Contract Details
Approval Date
10/15/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/18/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Linda Kirks, Regional VP/CFO
(210) 704-2624
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/15/2015
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