Contract Pharmacy Details

WALGREEN CO.
CH10817H DIRNE HEALTH CENTERS, INC.

Covered Entity Details

Entity Name

DIRNE HEALTH CENTERS, INC.

Subdivision Name

Heritage Health - Family Support Services

Type

HRSA-Funded Health Center

340B ID

CH10817H

Entity Address

2201 IRONWOOD PL
COEUR D ALENE, ID 83814-2670

Grant Number

H80CS02331

Participating Start Date

1/1/2015

Last Recertification Date

2/22/2023

Entity Termination Date

4/1/2024

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 06863
335 W APPLEWAY AVE
COEUR D ALENE, ID 83814

Pharmacy Comments

Contract Details

Approval Date

10/23/2014

Contract Begin Date

1/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/8/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

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

Signed By Date

340B Drug Pricing Program Database