340B Drug Pricing Program Database

Pharmacy Name

WALGREEN ARIZONA DRUG CO.

Pharmacy Address

DBA: WALGREENS # 02611
1150 W 8TH ST STE A
YUMA, AZ 85364

Pharmacy Comments

Approval Date

1/16/2015

Contract Begin Date

4/1/2015

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

David Willie, CFO
(928) 336-7015

Contract Pharmacy Representative

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

Signed By Date

1/16/2015