Contract Pharmacy Details

WALGREEN CO.
HV01717 URSULINE CENTER

Covered Entity Details

Entity Name

URSULINE CENTER

Subdivision Name

COMPREHENSIVE CARE CENTER

Type

Ryan White Part C

340B ID

HV01717

Entity Address

345 OAKHILL AVENUE
YOUNGSTOWN, OH 44502

Grant Number

H76HA01717

Participating Start Date

4/1/2007

Last Recertification Date

2/17/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 09903
3800 TIPPECANOE RD
YOUNGSTOWN, OH 44511-3310

Pharmacy Comments

Contract Details

Approval Date

4/11/2012

Contract Begin Date

4/11/2012

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

BRIGID KENNEDY, PROJECT DIRECTOR
(330) 792-7636 Ext: 18

Contract Pharmacy Representative

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

Signed By Date

3/16/2012

340B Drug Pricing Program Database