Contract Pharmacy Details

WALGREEN CO.
RWI23510 CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

Fort Tar

Type

Ryan White Part A

340B ID

RWI23510

Entity Address

1001 Monticello Ave
Suite 100
Norfolk, VA 23510

Grant Number

H89HA00053

Participating Start Date

10/1/2022

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 07644
810 W 21ST STREET
NORFOLK, VA 23517

Pharmacy Comments

Contract Details

Approval Date

10/27/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127

Contract Pharmacy Representative

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

Signed By Date

10/27/2023

340B Drug Pricing Program Database