340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN ARIZONA DRUG CO.
RRC030092-00 HONORHEALTH DEER VALLEY MED CTR
Print
Covered Entity Details
Entity Name
HONORHEALTH DEER VALLEY MED CTR
Subdivision Name
Type
Rural Referral Center
340B ID
RRC030092-00
Entity Address
19829 N 27th Ave
Phoenix, AZ 85027
Medicare Provider Number
030092
Participating Start Date
10/1/2017
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
WALGREEN ARIZONA DRUG CO.
Pharmacy Address
DBA: WALGREENS # 04228
5125 W. NORTHERN AVE.
GLENDALE, AZ 85301
Pharmacy Comments
Contract Details
Approval Date
7/10/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gary Baker, SVP-CEO-HOSPITAL
(480) 583-0803
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/10/2020
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