Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CH020560 Mosaic Health, Inc.

Covered Entity Details

Entity Name

Mosaic Health, Inc.

Subdivision Name

Mosaic Health Finger Lakes Administration

Type

HRSA-Funded Health Center

340B ID

CH020560

Entity Address

1 S Washington Street
Suite 300
Rochester, NY 14614-1134

Grant Number

H80CS00167

Participating Start Date

9/9/2005

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA: WALGREENS #09872
1125 RIDGE RD.
WEBSTER, NY 14580-2909

Pharmacy Comments

Contract Details

Approval Date

11/28/2012

Contract Begin Date

10/27/2012

Carve-In Effective Date

Contract Comments

11/07/2012 - public health emergency declared in the state of NY effective 10/27/2012

Contacts

Covered Entity Signing Official

Michael J Leary, President/CEO
(585) 325-2280 Ext: 7302

Contract Pharmacy Representative

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

Signed By Date

11/27/2012

340B Drug Pricing Program Database