340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
RWI30331A Fulton County Board of Health
Print
Covered Entity Details
Entity Name
Fulton County Board of Health
Subdivision Name
Neighborhood Union Health Center
Type
Ryan White Part A
340B ID
RWI30331A
Entity Address
186 Sunset Ave NW
Atlanta, GA 30314
Grant Number
H89HA00007
Participating Start Date
10/1/2019
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07608
5435 FIVE FORKS TRICKUM ROAD
STONE MOUNTAIN, GA 30087
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
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session