Contract Pharmacy Details

WALGREEN CO.
CH031250 BLUESTONE HEALTH ASSOCIATION, INC.

Covered Entity Details

Entity Name

BLUESTONE HEALTH ASSOCIATION, INC.

Subdivision Name

BLUESTONE HEALTH ASSOCIATION, INC.

Type

HRSA-Funded Health Center

340B ID

CH031250

Entity Address

3997 Beckley Rd
Princeton, WV 24740-7660

Grant Number

H80CS00450

Participating Start Date

7/1/1998

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

WALGREENS #17496
4248 COAL HERITAGE RD
BLUEFIELD, WV 24701-9190

Pharmacy Comments

Contract Details

Approval Date

7/3/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/7/2023
Pharmacy closed

Contacts

Covered Entity Signing Official

Linda Hutchens, CEO
(304) 431-5499 Ext: 1168

Contract Pharmacy Representative

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

Signed By Date

7/3/2018

340B Drug Pricing Program Database