Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CH03296D WESTSIDE FAMILY HEALTHCARE, INC.

Covered Entity Details

Entity Name

WESTSIDE FAMILY HEALTHCARE, INC.

Subdivision Name

Westside Family Healthcare - Northeast

Type

HRSA-Funded Health Center

340B ID

CH03296D

Entity Address

908 East 16th Street
Suite B
Wilmington, DE 19802-5145

Grant Number

H80CS00789

Participating Start Date

4/1/2004

Last Recertification Date

2/25/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA; WALGREENS #12040
3513 NORTH MARKET STREET
WILMINGTON, DE 19802

Pharmacy Comments

9/30/10 UPDATED PHARMACY NAME (WAS WALGREENS #12040);

Contract Details

Approval Date

10/1/2010

Contract Begin Date

10/1/2010

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/13/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

8/31/2010

340B Drug Pricing Program Database