340B Drug Pricing Program Database

Pharmacy Name

WALGREEN OF HAWAII, LLC.

Pharmacy Address

DBA: WALGREENS #12763
2180 MAIN STREET, STE 102
WAILUKU, HI 96793

Pharmacy Comments

Approval Date

1/7/2019

Contract Begin Date

4/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/2/2022
Pharmacy closed

Covered Entity Signing Official

Mark S. Anderson, Executive Director
(808) 242-4900

Contract Pharmacy Representative

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

Signed By Date

1/7/2019