340B Drug Pricing Program Database

Pharmacy Name

WALGREEN ARIZONA DRUG CO.

Pharmacy Address

DBA: WALGREENS # 06533
100 S BEELINE HWY
PAYSON, AZ 85541-4809

Pharmacy Comments

Approval Date

1/9/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Matthew K King, Senior Finance Director
(801) 682-9661

Contract Pharmacy Representative

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

Signed By Date

1/9/2020