340B Drug Pricing Program Database
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WALGREEN EASTERN CO., INC.
STD02910 CODAC Behavioral Healthcare, Inc
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Covered Entity Details
Entity Name
CODAC Behavioral Healthcare, Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD02910
Entity Address
1052 Park Ave
Cranston, RI 02910
Grant Number
6 NH25PS005160-02-02
Participating Start Date
10/1/2020
Last Recertification Date
5/5/2021
Entity Termination Date
7/1/2022
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 06892
591 METACOM AVENUE
BRISTOL, RI 02809-5131
Pharmacy Comments
Contract Details
Approval Date
4/15/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Linda Hurley, CEO
(401) 275-5037
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2021
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