Contract Pharmacy Details

WALGREEN CO
FP900083 T.H.E. CLINIC INC

Covered Entity Details

Entity Name

T.H.E. CLINIC INC

Subdivision Name

CLINIC

Type

Family Planning (Title X only)

340B ID

FP900083

Entity Address

3834 SOUTH WESTERN AVENUE
LOS ANGELES, CA 90062

Grant Number

FPHPA006537

Participating Start Date

1/1/1998

Last Recertification Date

5/6/2024

Pharmacy Details

Pharmacy Name

WALGREEN CO

Pharmacy Address

DBA: WALGREENS #11449
4616 DE LONGPRE AVE
LOS ANGELES, CA 90027

Pharmacy Comments

Contract Details

Approval Date

10/9/2017

Contract Begin Date

1/1/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Clifford Shiepe, President and CEO
(323) 730-1920 Ext: 3053

Contract Pharmacy Representative

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

Signed By Date

10/9/2017

340B Drug Pricing Program Database