Contract Pharmacy Details

WALGREEN CO.
RWI30058 AIDS HEALTHCARE FOUNDATION

Covered Entity Details

Entity Name

AIDS HEALTHCARE FOUNDATION

Subdivision Name

AHF HEALTHCARE CENTER - LITHONIA

Type

Ryan White Part A

340B ID

RWI30058

Entity Address

5700 HILLANDALE DRIVE, SUITE 100
LITHONIA, GA 30058

Grant Number

H89HA00007

Participating Start Date

10/1/2013

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

COMMUNITY, A WALGREENS PHARMACY #21146
565 PEACHTREE ST NE STE B
ATLANTA, GA 30308

Pharmacy Comments

Contract Details

Approval Date

10/12/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Philip Ho, Senior Director of Pharmacy and 340B Compliance
(323) 860-5323

Contract Pharmacy Representative

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

Signed By Date

10/12/2020

340B Drug Pricing Program Database