340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CHC06642-02 Western Maryland Health Care Corporation
Print
Covered Entity Details
Entity Name
Western Maryland Health Care Corporation
Subdivision Name
Mountain Laurel Medical Center Westernport
Type
HRSA-Funded Health Center
340B ID
CHC06642-02
Entity Address
22221 Westernport Rd SW
Westernport, MD 21562-2206
Grant Number
H80CS06642
Participating Start Date
1/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #17857
101 BISHOP MURPHY DR
FROSTBURG, MD 21532
Pharmacy Comments
Contract Details
Approval Date
1/4/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
BRIAN BAILEY, CEO
(301) 533-3300 Ext: 3056
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/4/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session