340B Drug Pricing Program Database

Pharmacy Name

WALGREEN EASTERN CO., INC

Pharmacy Address

RITE AID #04805
2463 US ROUTE 9W
RAVENA, NY 12143

Pharmacy Comments

Approval Date

10/23/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/4/2019
Pharmacy closed

Covered Entity Signing Official

Lori Santos, CFO
(518) 525-5537

Contract Pharmacy Representative

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

Signed By Date

10/15/2018