Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
FP07103 Rutgers, The State University of New Jersey

Covered Entity Details

Entity Name

Rutgers, The State University of New Jersey

Subdivision Name

RBHS-NJMS Department of Pediatrics Division of Adolescent and Young Adult Medicine

Type

Family Planning (Title X only)

340B ID

FP07103

Entity Address

90 Bergen Street
Suite 4400
Newark, NJ 07103

Grant Number

FPHPA006527-03

Participating Start Date

1/1/2019

Last Recertification Date

5/21/2024

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA: WALGREENS # 06382
1138 MAIN AVE
CLIFTON, NJ 07011-2331

Pharmacy Comments

Contract Details

Approval Date

10/5/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/24/2021
Agreement registered in error

Contacts

Covered Entity Signing Official

Letitia Dean, Assistant Director, Office of Research and Sponsored Programs
(973) 972-0283

Contract Pharmacy Representative

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

Signed By Date

10/5/2020

340B Drug Pricing Program Database