Contract Pharmacy Details

WALGREEN OF PUERTO RICO, INC.
CH022230 MOROVIS COMMUNITY HEALTH CENTER INC.

Covered Entity Details

Entity Name

MOROVIS COMMUNITY HEALTH CENTER INC.

Subdivision Name

MOROVIS COMMUNITY HEALTH CENTER, INC.

Type

HRSA-Funded Health Center

340B ID

CH022230

Entity Address

2 Calle Patron
Morovis, PR 00687-3021

Grant Number

H80CS00382

Participating Start Date

10/1/1995

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

WALGREEN OF PUERTO RICO, INC.

Pharmacy Address

DBA: WALGREENS # 00202
200 CARR. 137
MOROVIS, PR 00687

Pharmacy Comments

Contract Details

Approval Date

7/12/2018

Contract Begin Date

7/18/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

William Rodriguez, Executive Director
(787) 862-3000 Ext: 2203

Contract Pharmacy Representative

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

Signed By Date

7/12/2018

340B Drug Pricing Program Database