Contract Pharmacy Details

WALGREEN CO.
CH032700 KEYSTONE RURAL HEALTH CENTER

Covered Entity Details

Entity Name

KEYSTONE RURAL HEALTH CENTER

Subdivision Name

ADMINISTRATION

Type

HRSA-Funded Health Center

340B ID

CH032700

Entity Address

111 Chambers Hill Drive, Suite 200
CHAMBERSBURG, PA 17201

Grant Number

H80CS00076

Participating Start Date

1/1/2000

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #15978
324 E. ANTIETAM STREET
SUITE 202
HAGERSTOWN, MD 21740

Pharmacy Comments

Contract Details

Approval Date

4/1/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/21/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

JOANNE COCHRAN, PRESIDENT AND CEO
(717) 709-7906

Contract Pharmacy Representative

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

Signed By Date

4/1/2022

340B Drug Pricing Program Database