Contract Pharmacy Details

WALGREENS SPECIALTY PHARMACY, LLC
CH020070 HENRY J. AUSTIN HEALTH CENTER INC

Covered Entity Details

Entity Name

HENRY J. AUSTIN HEALTH CENTER INC

Subdivision Name

Henry J. Austin Health Center - Warren

Type

HRSA-Funded Health Center

340B ID

CH020070

Entity Address

321 N Warren St.
Trenton, NJ 08618-4741

Grant Number

H80CS00531

Participating Start Date

12/1/1992

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

WALGREENS SPECIALTY PHARMACY, LLC

Pharmacy Address

DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188

Pharmacy Comments

Contract Details

Approval Date

7/14/2022

Contract Begin Date

10/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Kemi Alli, Chief Executive Officer
(609) 278-5909

Contract Pharmacy Representative

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

Signed By Date

7/14/2022

340B Drug Pricing Program Database