340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN OF HAWAII LLC
CH091880 BAY CLINIC, INC.
Print
Covered Entity Details
Entity Name
BAY CLINIC, INC.
Subdivision Name
Hilo Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH091880
Entity Address
1178 Kinoole Street
Bldg. B
Hilo, HI 96720
Grant Number
H80CS00837
Participating Start Date
10/1/2004
Last Recertification Date
2/23/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
WALGREEN OF HAWAII LLC
Pharmacy Address
DBA WALGREENS #13836
301 E. MAKAALA ST.
HILO, HI 96720-5146
Pharmacy Comments
Contract Details
Approval Date
7/12/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/9/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
Harold Wallace, CEO
(808) 930-0449
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/12/2013
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