340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN ARIZONA DRUG CO.
STD86305 Northland Cares
Print
Covered Entity Details
Entity Name
Northland Cares
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD86305
Entity Address
Northland Cares
3188 N Windsong Drive
A
Prescott Valley, AZ 86314
Grant Number
6 NU62PS924550-05-06
Participating Start Date
10/1/2019
Last Recertification Date
5/13/2024
Pharmacy Details
Pharmacy Name
WALGREEN ARIZONA DRUG CO.
Pharmacy Address
DBA: WALGREENS #09571
1020 N HIGHWAY 89
CHINO VALLEY, AZ 86323
Pharmacy Comments
Contract Details
Approval Date
4/2/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Vonda Ann Chisholm, Executive Director
(928) 776-4612 Ext: 104
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/2/2021
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