Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CH020070 HENRY J. AUSTIN HEALTH CENTER INC

Covered Entity Details

Entity Name

HENRY J. AUSTIN HEALTH CENTER INC

Subdivision Name

Henry J. Austin Health Center - Warren

Type

HRSA-Funded Health Center

340B ID

CH020070

Entity Address

321 N Warren St.
Trenton, NJ 08618-4741

Grant Number

H80CS00531

Participating Start Date

12/1/1992

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

RITE AID #10504
1700 N OLDEN AVE
EWING, NJ 08638

Pharmacy Comments

Contract Details

Approval Date

7/25/2018

Contract Begin Date

7/25/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/17/2019
Pharmacy closed

Contacts

Covered Entity Signing Official

Kemi Alli, Chief Executive Officer
(609) 278-5909

Contract Pharmacy Representative

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

Signed By Date

7/25/2018

340B Drug Pricing Program Database