Contract Pharmacy Details

WALGREEN CO.
RWI30331A Fulton County Board of Health

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

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