340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN EASTERN CO., INC.
CHC33656-02 Upstate Family Health Center, Inc.
Print
Covered Entity Details
Entity Name
Upstate Family Health Center, Inc.
Subdivision Name
Upstate Family Health Center, Inc. Donovan SBHC
Type
HRSA-Funded Health Center
340B ID
CHC33656-02
Entity Address
1701 Noyes St
Utica, NY 13502-3857
Grant Number
H80CS33656
Participating Start Date
7/1/2020
Last Recertification Date
2/6/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #21158
33 NEW SCOTLAND AVE STE 106
ALBANY, NY 12208
Pharmacy Comments
Contract Details
Approval Date
4/16/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
John Milligan, Chief Executive Officer
(315) 624-9470 Ext: 260
Contract Pharmacy Representative
Walgreen
krystal mobley, Sr Analyst
(847) 964-8918
Signed By Date
4/16/2020
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