340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH10248F COWLITZ FAMILY HEALTH CENTER
Print
Covered Entity Details
Entity Name
COWLITZ FAMILY HEALTH CENTER
Subdivision Name
FHC Kelso Clinic
Type
HRSA-Funded Health Center
340B ID
CH10248F
Entity Address
300 Oak Street STE B
Kelso, WA 98626-2304
Grant Number
H80CS00542
Participating Start Date
10/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05816
9812 NE HIGHWAY 99
VANCOUVER, WA 98665
Pharmacy Comments
Contract Details
Approval Date
10/6/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DIAN COOPER, CEO
(360) 636-3892
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/6/2014
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