Contract Pharmacy Details

WALGREEN CO.
CH09244B CLINIC INC, THE

Covered Entity Details

Entity Name

CLINIC INC, THE

Subdivision Name

T.H.E. Clinic Inc. at Lennox School District

Type

HRSA-Funded Health Center

340B ID

CH09244B

Entity Address

10223 Firmona Ave
Lennox, CA 90304-1421

Grant Number

H80CS00755

Participating Start Date

4/1/2015

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 06413
230 N LABREA AVE
INGLEWOOD, CA 90301

Pharmacy Comments

Contract Details

Approval Date

1/5/2018

Contract Begin Date

4/1/2018

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

1/5/2018

340B Drug Pricing Program Database