340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREENS SPECIALTY PHARMACY, LLC
DSH030036 CHANDLER REGIONAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
CHANDLER REGIONAL MEDICAL CENTER
Subdivision Name
CHANDLER REGIONAL MEDICAL CENTER
Type
Disproportionate Share Hospital
340B ID
DSH030036
Entity Address
1955 W. Frye Road
CHANDLER, AZ 85224
Medicare Provider Number
030036
Participating Start Date
1/1/2015
Last Recertification Date
9/4/2020
Entity Termination Date
10/5/2021
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188
Pharmacy Comments
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/15/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Eric Sorensen, CFO
(480) 728-3144 Ext: 4807283144
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/14/2019
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