Contract Pharmacy Details

WALGREEN CO.
DSH050276B CONTRA COSTA REGIONAL MEDICAL CENTER

Covered Entity Details

Entity Name

CONTRA COSTA REGIONAL MEDICAL CENTER

Subdivision Name

PITTSBURG HEALTH CENTER

Type

Disproportionate Share Hospital

340B ID

DSH050276B

Entity Address

PITTSBURG HEALTH CENTER
2311 LOVERIDGE ROAD
PITTSBURG, CA 94565-5117

Medicare Provider Number

050276

Outpatient Facility Provider Number

Participating Start Date

4/1/1998

Last Recertification Date

8/15/2024

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 07376
2901 RAILROAD AVE
PITTSBURG, CA 94565-5224

Pharmacy Comments

Contract Details

Approval Date

4/2/2007

Contract Begin Date

4/2/2007

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

3/16/2007

340B Drug Pricing Program Database