340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH033770 GREATER BADEN MEDICAL SERVICE INC
Print
Covered Entity Details
Entity Name
GREATER BADEN MEDICAL SERVICE INC
Subdivision Name
Greater Baden Medical Services at Brandywine
Type
HRSA-Funded Health Center
340B ID
CH033770
Entity Address
7450 Albert Road
Brandywine, MD 20613
Grant Number
H80CS00549
Participating Start Date
4/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
COMMUNITY, A WALGREENS PHARMACY #16419
1117 GOOD HOPE RD. SE
WASHINGTON, DC 20020
Pharmacy Comments
Contract Details
Approval Date
10/13/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/4/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
colenthia malloy, chief executive officer
(301) 836-9652
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/13/2016
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session