340B Drug Pricing Program Database

Pharmacy Name

WALGREEN ARIZONA DRUG CO.

Pharmacy Address

DBA: WALGREENS #09571
1020 N HIGHWAY 89
CHINO VALLEY, AZ 86323

Pharmacy Comments

Approval Date

10/7/2022

Contract Begin Date

1/1/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Johnny Martinez, Executive Director
(928) 776-4612

Contract Pharmacy Representative

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

Signed By Date

10/7/2022