Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CH02007M Henry J. Austin Health Center, Inc.

Covered Entity Details

Entity Name

Henry J. Austin Health Center, Inc.

Subdivision Name

Henry J Austin Health Center - Mobile Health Unit

Type

HRSA-Funded Health Center

340B ID

CH02007M

Entity Address

218 North Broad St.
Trenton, NJ 08608-1306

Grant Number

H80CS00531

Participating Start Date

1/1/2020

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA: WALGREENS #11313
2021 NOTTINGHAM WAY
HAMILTON, NJ 08619-3029

Pharmacy Comments

Contract Details

Approval Date

7/17/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

Walgreen
Anita Sokol, Account Manager
(718) 776-8116

Signed By Date

7/17/2023

340B Drug Pricing Program Database