Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CH01337R First Choice Health Centers, Inc.

Covered Entity Details

Entity Name

First Choice Health Centers, Inc.

Subdivision Name

478 Burnside Ave East Hartford, CT 06108

Type

HRSA-Funded Health Center

340B ID

CH01337R

Entity Address

478 Burnside Ave Bldg
East Hartford, CT 06108-2425

Grant Number

H80CS00262

Participating Start Date

7/1/2022

Last Recertification Date

2/25/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA: WALGREENS # 05407
295 MAIN STREET
MANCHESTER, CT 06040

Pharmacy Comments

Contract Details

Approval Date

1/16/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Sabrina Griswold, Director of Pharmacy
(860) 610-6366

Contract Pharmacy Representative

Walgreens
Cheryl Mullins, 340B Client Relationship Analysist
(847) 527-2432

Signed By Date

1/16/2024

340B Drug Pricing Program Database