Contract Pharmacy Details

WALGREEN CO
RWI20037 AIDS Healthcare Foundation

Covered Entity Details

Entity Name

AIDS Healthcare Foundation

Subdivision Name

AHF Healthcare Center - Washington DC

Type

Ryan White Part A

340B ID

RWI20037

Entity Address

1701 K Street NW
Suite 400
WASHINGTON, DC 20006

Grant Number

H89HA00012

Participating Start Date

7/1/2011

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO

Pharmacy Address

DBA: WALGREENS #10071
1217 22ND ST. NW
WASHINGTON, DC 20037-1203

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