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WALGREEN EASTERN CO., INC.
CH021980 BROOKLYN PLAZA MEDICAL CENTER
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Covered Entity Details
Entity Name
BROOKLYN PLAZA MEDICAL CENTER
Subdivision Name
BROOKLYN PLAZA MEDICAL CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH021980
Entity Address
650 Fulton St
Brooklyn, NY 11217-1517
Grant Number
H80CS00410
Participating Start Date
9/9/2005
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS
4915 FLATLANDS AVE.
BROOKLYN, NY 11234
Pharmacy Comments
Contract Details
Approval Date
10/14/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Daniel Desire, Chief Financial Officer
(718) 596-9800 Ext: 226
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/14/2021
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