Contract Pharmacy Details

WALGREEN CO.
RWI94577 Yvette A. Flunder Foundation, Inc.

Covered Entity Details

Entity Name

Yvette A. Flunder Foundation, Inc.

Subdivision Name

Type

Ryan White Part A

340B ID

RWI94577

Entity Address

1271 Washington Avenue
220
San Leandro, CA 94577

Grant Number

H89HA00018

Participating Start Date

10/1/2021

Last Recertification Date

2/8/2022

Entity Termination Date

4/1/2023

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 13595
1333 BROADWAY STE 145
OAKLAND, CA 94612

Pharmacy Comments

Contract Details

Approval Date

4/15/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2023
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Yvette A. Flunder, Executive Director
(510) 633-6316 Ext: 105

Contract Pharmacy Representative

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

Signed By Date

4/15/2022

340B Drug Pricing Program Database