Contract Pharmacy Details

WALGREEN CO.
CHC24157-00 Foothills Community Health Care, Inc.

Covered Entity Details

Entity Name

Foothills Community Health Care, Inc.

Subdivision Name

Foothills Community Health Care, Inc.

Type

HRSA-Funded Health Center

340B ID

CHC24157-00

Entity Address

403 Hillcrest Dr
Ste D
STE D
Easley, SC 29640

Grant Number

H80CS24157

Participating Start Date

10/1/2014

Last Recertification Date

2/27/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #11769
1100 TIGER BLVD.
CLEMSON, SC 29631-1116

Pharmacy Comments

Contract Details

Approval Date

10/15/2014

Contract Begin Date

1/1/2015

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Debra King, Chief Executive Officer
(864) 888-7310

Contract Pharmacy Representative

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

Signed By Date

10/15/2014

340B Drug Pricing Program Database