Contract Pharmacy Details

WALGREEN CO
RWI303081 AIDS Healthcare Foundation

Covered Entity Details

Entity Name

AIDS Healthcare Foundation

Subdivision Name

AHF Healthcare Center - Peachtree

Type

Ryan White Part A

340B ID

RWI303081

Entity Address

1438 W. PEACHTREE STREET NW
ATLANTA, GA 30309

Grant Number

H89HA00007

Participating Start Date

12/1/1992

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO

Pharmacy Address

DBA: WALGREENS #07502
1490 PLEASANT HILL ROAD
DULUTH, GA 30096-4674

Pharmacy Comments

Contract Details

Approval Date

1/16/2023

Contract Begin Date

4/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022

Contract Pharmacy Representative

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

Signed By Date

1/16/2023

340B Drug Pricing Program Database