340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN EASTERN CO., INC.
CH020710 NEWARK DEPARTMENT OF HEALTH AND HUMAN SERVICES
Print
Covered Entity Details
Entity Name
NEWARK DEPARTMENT OF HEALTH AND HUMAN SERVICES
Subdivision Name
Mary Eliza Mahoney Health Center @110 William Street
Type
HRSA-Funded Health Center
340B ID
CH020710
Entity Address
110 WILLIAM STREET
ROOM 208
NEWARK, NJ 07102
Grant Number
H80CS00009
Participating Start Date
4/1/2018
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #19866
1084 BROAD ST
NEWARK, NJ 07102
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/1/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Mark J Wade, CEO
(973) 733-5310
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2020
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