Contract Pharmacy Details

WALGREEN CO.
CH051920 OUTREACH COMMUNITY HEALTH CENTERS, INC.

Covered Entity Details

Entity Name

OUTREACH COMMUNITY HEALTH CENTERS, INC.

Subdivision Name

Outreach Community Health Centers, Incorporated

Type

HRSA-Funded Health Center

340B ID

CH051920

Entity Address

220 W Capitol Drive
Milwaukee, WI 53212-1123

Grant Number

H80CS00034

Participating Start Date

1/1/2008

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #21396
320 E CAPITOL DR
MILWAUKEE, WI 53212

Pharmacy Comments

Contract Details

Approval Date

1/2/2018

Contract Begin Date

4/1/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Constance Palmer, Chief Executive Officer
(414) 964-9012

Contract Pharmacy Representative

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

Signed By Date

1/2/2018

340B Drug Pricing Program Database