340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
FQHCLA341 YEHOWA MEDICAL SERVICES
Print
Covered Entity Details
Entity Name
YEHOWA MEDICAL SERVICES
Subdivision Name
Yehowa Medical Services
Type
Health Center Program Look-Alike
340B ID
FQHCLA341
Entity Address
1039 W FLORENCE AVE
LOS ANGELES, CA 90044-2441
Grant Number
LALCS00179
Participating Start Date
10/1/2016
Last Recertification Date
2/6/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06249
4351 E IMPERIAL HWY
LYNWOOD, CA 90262
Pharmacy Comments
Contract Details
Approval Date
10/5/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Thomas Tweh, Chief Executive Officer
(323) 776-1500 Ext: 1000
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/5/2017
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