Contract Pharmacy Details

WALGREEN ARIZONA DRUG CO.
STD85260 CAN Community Health, Inc

Covered Entity Details

Entity Name

CAN Community Health, Inc

Subdivision Name

Scottsdale

Type

Sexually Transmitted Diseases

340B ID

STD85260

Entity Address

15425 N Greenway Hayden Loop
Suite A300
Scottsdale, AZ 85260

Grant Number

6 NU62PS924818-01-01

Participating Start Date

1/1/2020

Last Recertification Date

5/27/2024

Pharmacy Details

Pharmacy Name

WALGREEN ARIZONA DRUG CO.

Pharmacy Address

DBA: WALGREENS # 16082
10602 N. 32ND STREET
PHOENIX, AZ 85028

Pharmacy Comments

Contract Details

Approval Date

1/21/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127

Contract Pharmacy Representative

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

Signed By Date

1/21/2024

340B Drug Pricing Program Database