Contract Pharmacy Details

WALGREEN CO.
CH051820 CARE ALLIANCE

Covered Entity Details

Entity Name

CARE ALLIANCE

Subdivision Name

CARE ALLIANCE HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH051820

Entity Address

1530 Saint Clair Ave NE
Cleveland, OH 44114-2004

Grant Number

H80CS00029

Participating Start Date

1/1/2000

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #21259
14501 EUCLID AVE
EAST CLEVELAND, OH 44112-3426

Pharmacy Comments

Contract Details

Approval Date

10/12/2017

Contract Begin Date

1/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/21/2025
Pharmacy closed

Contacts

Covered Entity Signing Official

Terrance K. Byrne, Chief Operating Officer
(216) 781-6228 Ext: 227

Contract Pharmacy Representative

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

Signed By Date

10/12/2017

340B Drug Pricing Program Database