340B Drug Pricing Program Database

Pharmacy Name

WALGREEN ARIZONA DRUG CO.

Pharmacy Address

DBA: WALGREENS # 03593
2610 WEST THUNDERBIRD RD.
PHOENIX, AZ 85023

Pharmacy Comments

Approval Date

11/30/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Thanes J Vanig, Chief Medical Officer
(602) 604-9500

Contract Pharmacy Representative

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

Signed By Date

10/15/2018