Contract Pharmacy Details

WALGREEN CO.
CH056430 Grace Health, Inc.

Covered Entity Details

Entity Name

Grace Health, Inc.

Subdivision Name

Grace Health, Inc.

Type

HRSA-Funded Health Center

340B ID

CH056430

Entity Address

181 Emmett St W
Battle Creek, MI 49037-2963

Grant Number

H80CS00586

Participating Start Date

7/1/1998

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 10513
605 NORTH AVE
BATTLE CREEK, MI 49017-3230

Pharmacy Comments

Contract Details

Approval Date

2/12/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

AJ Jones, President/CEO
(269) 966-2600

Contract Pharmacy Representative

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

Signed By Date

1/15/2013

340B Drug Pricing Program Database