Contract Pharmacy Details

WALGREEN CO.
CH030890 PRESTON TAYLOR COMMUNITY HEALTH CENTER

Covered Entity Details

Entity Name

PRESTON TAYLOR COMMUNITY HEALTH CENTER

Subdivision Name

Preston-Taylor Community Health

Type

HRSA-Funded Health Center

340B ID

CH030890

Entity Address

725 N Pike St
Grafton, WV 26354-1270

Grant Number

H80CS00617

Participating Start Date

7/1/2004

Last Recertification Date

2/26/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #12266
209 N 3RD ST
OAKLAND, MD 21550

Pharmacy Comments

Contract Details

Approval Date

4/15/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Linda M. Shriver, CEO
(304) 265-0312

Contract Pharmacy Representative

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

Signed By Date

4/15/2020

340B Drug Pricing Program Database