Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CH0213350 ZUFALL HEALTH CENTER, INC.

Covered Entity Details

Entity Name

ZUFALL HEALTH CENTER, INC.

Subdivision Name

DOVER COMMUNITY CLINIC

Type

HRSA-Funded Health Center

340B ID

CH0213350

Entity Address

18 West Blackwell Street
Dover, NJ 07801-4506

Grant Number

H80CS04211

Participating Start Date

7/1/2005

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA: WALGREENS #10439
126 WATER ST.
NEWTON, NJ 07860

Pharmacy Comments

Contract Details

Approval Date

4/14/2016

Contract Begin Date

7/1/2016

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

EVA TURBINER, PRESIDENT & CEO
(973) 328-9100 Ext: 1303

Contract Pharmacy Representative

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

Signed By Date

4/14/2016

340B Drug Pricing Program Database