340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
DSH110023 AdventHealth Gordon
Print
Covered Entity Details
Entity Name
AdventHealth Gordon
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH110023
Entity Address
1035 RED BUD ROAD NE
CALHOUN, GA 30701
Medicare Provider Number
110023
Participating Start Date
4/1/2008
Last Recertification Date
9/6/2023
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #10798
1101 N THIRD AVENUE
CHATSWORTH, GA 30705
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Cory David Reeves, CFO
(706) 879-4710
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session