Contract Pharmacy Details

WALGREEN CO.
CH065800 SO. CENTRAL HOUSTON ACTION COUNCIL, INC.

Covered Entity Details

Entity Name

SO. CENTRAL HOUSTON ACTION COUNCIL, INC.

Subdivision Name

MLK

Type

HRSA-Funded Health Center

340B ID

CH065800

Entity Address

8610 MARTIN LUTHER KING, BLVD
HOUSTON, TX 77033

Grant Number

H80CS00204

Participating Start Date

10/1/1998

Last Recertification Date

2/7/2018

Entity Termination Date

1/1/2019

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 09471
5501 WEST OREM DR
HOUSTON, TX 77085-1253

Pharmacy Comments

Contract Details

Approval Date

4/4/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2019
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Demetria Robinson, Deputy Director
(713) 734-0199 Ext: 1082

Contract Pharmacy Representative

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

Signed By Date

4/4/2018

340B Drug Pricing Program Database