Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CHC29001-00 WHEELER CLINIC, INC. THE

Covered Entity Details

Entity Name

WHEELER CLINIC, INC. THE

Subdivision Name

Bristol Family Health and Wellness Center

Type

HRSA-Funded Health Center

340B ID

CHC29001-00

Entity Address

1 Hope Street
Bristol, CT 06010-8122

Grant Number

H80CS29001

Participating Start Date

1/1/2018

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA: WALGREENS # 03827
161 WASHINGTON ST
HARTFORD, CT 06106

Pharmacy Comments

Contract Details

Approval Date

4/13/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/18/2025
Pharmacy closed

Contacts

Covered Entity Signing Official

Athena Marie Dellas, Chief Financial Officer
(860) 793-4235

Contract Pharmacy Representative

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

Signed By Date

4/13/2019

340B Drug Pricing Program Database