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WALGREEN EASTERN CO., INC.
CH02049D William F. Ryan Community Health Center, Inc.
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Covered Entity Details
Entity Name
William F. Ryan Community Health Center, Inc.
Subdivision Name
Ryan Chelsea-Clinton Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH02049D
Entity Address
645 10th Ave
New York, NY 10036-2904
Grant Number
H80CS00061
Participating Start Date
1/1/2004
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16078
205 8TH AVENUE
NEW YORK, NY 10011
Pharmacy Comments
Contract Details
Approval Date
10/12/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bertrand Toulouse, 340 B Manager
(212) 749-1820 Ext: 4827
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/12/2022
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