Contract Pharmacy Details

WALGREEN CO
HV20722 GREATER BADEN MEDICAL SERVICES, INC.

Covered Entity Details

Entity Name

GREATER BADEN MEDICAL SERVICES, INC.

Subdivision Name

ADMINISTRATIVE OFFICE

Type

Ryan White Part C

340B ID

HV20722

Entity Address

7450 Albert Road
Brandywine, MD 20613

Grant Number

H76HA00683

Participating Start Date

4/1/2004

Last Recertification Date

2/3/2022

Entity Termination Date

4/1/2023

Pharmacy Details

Pharmacy Name

WALGREEN CO

Pharmacy Address

DBA: WALGREENS #10063
6300 CRAIN HWY
LA PLATA, MD 20646-4259

Pharmacy Comments

Contract Details

Approval Date

10/22/2012

Contract Begin Date

10/22/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2023
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Sarah Leonhard, Consultant
(301) 518-2349

Contract Pharmacy Representative

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

Signed By Date

9/21/2012

340B Drug Pricing Program Database