Contract Pharmacy Details

WALGREEN CO.
CHC24153-00 ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA, INC.

Covered Entity Details

Entity Name

ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA, INC.

Subdivision Name

Asian American Health Coalition of the Greater Houston Area

Type

HRSA-Funded Health Center

340B ID

CHC24153-00

Entity Address

7001 Corporate Dr STE 120
Houston, TX 77036-5139

Grant Number

H80CS24153

Participating Start Date

1/1/2013

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 06484
9600 WESTHEIMER RD
HOUSTON, TX 77063

Pharmacy Comments

Contract Details

Approval Date

4/11/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Andrea Caracostis, Chief Executive Officer
(713) 337-3640

Contract Pharmacy Representative

Walgreens
Rishabh Dave, 340B Operations Analyst
(847) 964-8379

Signed By Date

4/11/2018

340B Drug Pricing Program Database