Contract Pharmacy Details

WALGREEN CO.
CH046900 MEDCURA HEALTH, INC.

Covered Entity Details

Entity Name

MEDCURA HEALTH, INC.

Subdivision Name

STONE MOUNTAIN

Type

HRSA-Funded Health Center

340B ID

CH046900

Entity Address

5582 MEMORIAL DRIVE
STONE MOUNTAIN, GA 30083

Grant Number

H80CS00179

Participating Start Date

4/1/2004

Last Recertification Date

2/16/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

COMMUNITY A WALGREENS PHARMACY #15304
1874 PIEDMONT AVE NE STE 100A
ATLANTA, GA 30324

Pharmacy Comments

Contract Details

Approval Date

4/8/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Jeff Taylor, Chief Executive Officer
(404) 298-3250

Contract Pharmacy Representative

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

Signed By Date

4/8/2024

340B Drug Pricing Program Database