Contract Pharmacy Details

WALGREEN CO.
FQHCLA414B METRO HEALTH, INC.

Covered Entity Details

Entity Name

METRO HEALTH, INC.

Subdivision Name

600 Pennsylvania Avenue, SE

Type

Health Center Program Look-Alike

340B ID

FQHCLA414B

Entity Address

600 Pennsylvania Avenue, SE # Unit #LL1
WASHINGTON, DC 20003-4316

Grant Number

LALCS39530

Participating Start Date

4/1/2024

Last Recertification Date

Entity Termination Date

4/1/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #16049
2041 GEORGIA AVE NW #1-J10
WASHINGTON, DC 20060

Pharmacy Comments

Contract Details

Approval Date

1/12/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2025
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Duane Taylor, Interim CEO and COO
(202) 638-0750 Ext: 2027744595

Contract Pharmacy Representative

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

Signed By Date

1/12/2024

340B Drug Pricing Program Database