Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CHC11358-01 COMMUNITY HEALTH CLINIC, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH CLINIC, INC.

Subdivision Name

Community Health Clinic, Inc

Type

HRSA-Funded Health Center

340B ID

CHC11358-01

Entity Address

179 COLUMBIA AVE
VANDERGRIFT, PA 15690-1203

Grant Number

H80CS12880

Participating Start Date

10/1/2015

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA: WALGREENS # 09344
2455 LEECHBURG ROAD
NEW KENSINGTON, PA 15068-4619

Pharmacy Comments

Contract Details

Approval Date

4/2/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Raji Jayakrishnan, Executive Director
(724) 335-3334

Contract Pharmacy Representative

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

Signed By Date

4/2/2018

340B Drug Pricing Program Database