340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO
DSH050276 CONTRA COSTA REGIONAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
CONTRA COSTA REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050276
Entity Address
Contra Costa Regional Medical Center
2500 ALHAMBRA AVE.
MARTINEZ, CA 94553-3156
Medicare Provider Number
050276
Participating Start Date
4/1/1998
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #11614
2750 PINOLE VALLEY RD
PINOLE, CA 94564
Pharmacy Comments
Contract Details
Approval Date
10/26/2012
Contract Begin Date
10/26/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/1/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
PATRICK GODLEY, COO & CFO
(925) 957-5405
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/12/2012
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