340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN EASTERN CO., INC.
CH01058V PROVIDENCE COMMUNITY HEALTH CENTERS, INC., THE
Print
Covered Entity Details
Entity Name
PROVIDENCE COMMUNITY HEALTH CENTERS, INC., THE
Subdivision Name
Randall Square Health Center Suite 205
Type
HRSA-Funded Health Center
340B ID
CH01058V
Entity Address
1 Randall Sq Ste 205
Providence, RI 02904-2709
Grant Number
H80CS00057
Participating Start Date
1/1/2018
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 03703
354 ADMIRAL STREET
PROVIDENCE, RI 02908
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Garrett Clark, CO
(401) 444-0400
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/13/2023
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