Contract Pharmacy Details

WALGREEN CO.
CH059030 COMMUNITY HEALTH SYSTEMS, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH SYSTEMS, INC.

Subdivision Name

Corporate Office

Type

HRSA-Funded Health Center

340B ID

CH059030

Entity Address

74 Eclipse Ctr
BELOIT, WI 53511-3550

Grant Number

H80CS00676

Participating Start Date

1/1/1999

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 06001
5065 HONONEGAH RD
ROSCOE, IL 61073

Pharmacy Comments

Contract Details

Approval Date

4/26/2012

Contract Begin Date

4/26/2012

Carve-In Effective Date

Contract Comments

3/25/16 "unterminated" after discussion with CE

Contacts

Covered Entity Signing Official

RICHARD A. PERRY, CEO
(608) 361-6130

Contract Pharmacy Representative

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

Signed By Date

4/27/2012

340B Drug Pricing Program Database