Contract Pharmacy Details

WALGREEN CO.
RWI30331 FULTON COUNTY BOARD OF HEALTH

Covered Entity Details

Entity Name

FULTON COUNTY BOARD OF HEALTH

Subdivision Name

Adamsville Health Center

Type

Ryan White Part A

340B ID

RWI30331

Entity Address

3700 Martin Luther King Jr. Drive
Atlanta, GA 30331

Grant Number

H89HA00007

Participating Start Date

1/1/2016

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

COMMUNITY A WALGREENS PHARMACY #21230
860 JOHNSON FERRY RD STE 230
SANDY SPRINGS, GA 30342-1453

Pharmacy Comments

Contract Details

Approval Date

4/15/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Lynn Paxton, District Health Director
(404) 613-1059

Contract Pharmacy Representative

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

Signed By Date

4/15/2024

340B Drug Pricing Program Database