Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CH02152G OPEN DOOR FAMILY MEDICAL CENTER, INC.

Covered Entity Details

Entity Name

OPEN DOOR FAMILY MEDICAL CENTER, INC.

Subdivision Name

OPEN DOOR MT. KISCO CLINIC

Type

HRSA-Funded Health Center

340B ID

CH02152G

Entity Address

30 W MAIN ST
MOUNT KISCO, NY 10549-1910

Grant Number

H80CS00160

Participating Start Date

11/25/2005

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

RITE AID #03432
55 S MOGER AVE #59
MOUNT KISCO, NY 10549

Pharmacy Comments

Contract Details

Approval Date

4/2/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/31/2023
Pharmacy closed

Contacts

Covered Entity Signing Official

Lindsay Farrell, President and CEO
(914) 502-1450

Contract Pharmacy Representative

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

Signed By Date

4/2/2019

340B Drug Pricing Program Database