340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN EASTERN CO., INC.
DSH310084 Monmouth Medical Center Southern Campus
Print
Covered Entity Details
Entity Name
Monmouth Medical Center Southern Campus
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH310084
Entity Address
600 RIVER AVE
LAKEWOOD, NJ 08701
Medicare Provider Number
310084
Participating Start Date
1/1/2015
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 01315
2353 LAKEWOOD RD
TOMS RIVER, NJ 08755
Pharmacy Comments
Contract Details
Approval Date
4/9/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David McClung, CFO
(732) 923-7181
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/9/2015
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