Contract Pharmacy Details

WALGREEN CO
CH032750 CHOPTANK COMMUNITY HEALTH SYSTEM, INC.

Covered Entity Details

Entity Name

CHOPTANK COMMUNITY HEALTH SYSTEM, INC.

Subdivision Name

DENTON MEDICAL CENTER

Type

HRSA-Funded Health Center

340B ID

CH032750

Entity Address

808 S 5th Ave
DENTON, MD 21629-1392

Grant Number

H80CS00176

Participating Start Date

4/1/1999

Last Recertification Date

3/6/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO

Pharmacy Address

DBA: WALGREENS #11763
701 WASHINGTON AVE
CHESTERTOWN, MD 21620

Pharmacy Comments

Contract Details

Approval Date

7/1/2015

Contract Begin Date

10/1/2015

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Joseph M. Sheehan, President and CEO
(410) 479-4306

Contract Pharmacy Representative

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

Signed By Date

7/1/2015

340B Drug Pricing Program Database