Contract Pharmacy Details

WALGREEN EASTERN CO INC
STD071033 Rutgers, The State University of New Jersey

Covered Entity Details

Entity Name

Rutgers, The State University of New Jersey

Subdivision Name

RBHS - New Jersey Medical School

Type

Sexually Transmitted Diseases

340B ID

STD071033

Entity Address

140 Bergen Street
ACC, D-Level, Room D1725
NewarK, NJ 07103-0000

Grant Number

NH25PS005174-06

Participating Start Date

10/1/2019

Last Recertification Date

5/9/2024

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO INC

Pharmacy Address

DBA: WALGREENS # 05463
699 BROADWAY
BAYONNE, NJ 07002

Pharmacy Comments

06/11/2012 changed address (was 699 Broadway)

Contract Details

Approval Date

10/5/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

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