Contract Pharmacy Details

WALGREEN CO.
CH036640 CHASE BREXTON HEALTH SERVICES, INC

Covered Entity Details

Entity Name

CHASE BREXTON HEALTH SERVICES, INC

Subdivision Name

Chase Brexton Health Services, Inc.

Type

HRSA-Funded Health Center

340B ID

CH036640

Entity Address

1111 North Charles Street
Baltimore, MD 21201-5505

Grant Number

H80CS00734

Participating Start Date

4/1/1997

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

WALGREENS #17205
1030 W 41ST ST STE E
BALTIMORE, MD 21211-1662

Pharmacy Comments

Contract Details

Approval Date

1/9/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Eric Turnbaugh, CFO
(410) 837-2050 Ext: 1148

Contract Pharmacy Representative

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

Signed By Date

1/9/2024

340B Drug Pricing Program Database