Contract Pharmacy Details

WALGREEN CO.
CH037150 RICHMOND, CITY OF

Covered Entity Details

Entity Name

RICHMOND, CITY OF

Subdivision Name

VERNON J. HARRIS EAST END CHC

Type

HRSA-Funded Health Center

340B ID

CH037150

Entity Address

719 N 25th St
Richmond, VA 23223-6539

Grant Number

H80CS00174

Participating Start Date

4/1/2000

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 09779
4845 S LABURNUM AVE
RICHMOND, VA 23231-2713

Pharmacy Comments

Contract Details

Approval Date

7/27/2012

Contract Begin Date

7/27/2012

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Tracy Causey, CEO
(804) 253-1968

Contract Pharmacy Representative

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

Signed By Date

7/25/2012

340B Drug Pricing Program Database