Contract Pharmacy Details

WALGREEN CO.
STD37604 CHATTANOOGA C.A.R.E.S. DBA CEMPA COMMUNITY CARE

Covered Entity Details

Entity Name

CHATTANOOGA C.A.R.E.S. DBA CEMPA COMMUNITY CARE

Subdivision Name

ETSU

Type

Sexually Transmitted Diseases

340B ID

STD37604

Entity Address

615 N. State of Franklin Rd
Johnson City, TN 37604

Grant Number

NU65PS923764

Participating Start Date

7/1/2017

Last Recertification Date

5/7/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 03954
4039 DAYTON BLVD
RED BANK, TN 37415

Pharmacy Comments

Contract Details

Approval Date

7/6/2017

Contract Begin Date

10/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/15/2020
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Shannon Stephenson, CEO
(423) 648-9911

Contract Pharmacy Representative

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

Signed By Date

7/6/2017

340B Drug Pricing Program Database