Contract Pharmacy Details

WALGREEN CO.
HV00814A 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

Mobile Unit

Type

Ryan White Part C

340B ID

HV00814A

Entity Address

1000 E. 3rd Street
Suite 300
Chattanooga, TN 37403

Grant Number

H76HA00814

Participating Start Date

1/1/2018

Last Recertification Date

2/7/2023

Entity Termination Date

4/1/2024

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 06143
3550 BROAD ST
CHATTANOOGA, TN 37409

Pharmacy Comments

Contract Details

Approval Date

11/22/2017

Contract Begin Date

1/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/24/2022
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

10/10/2017

340B Drug Pricing Program Database