Contract Pharmacy Details

WALGREEN CO.
CH04431AK MCR Health, Inc.

Covered Entity Details

Entity Name

MCR Health, Inc.

Subdivision Name

Riverside MEDICAL SERVICES

Type

HRSA-Funded Health Center

340B ID

CH04431AK

Entity Address

300 Riverside Dr E
Ste 2010
2010
Bradenton, FL 34208-1023

Grant Number

H80CS00097

Participating Start Date

1/1/2016

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04841
4210 STATE ROAD 64 EAST
BRADENTON, FL 34208

Pharmacy Comments

Contract Details

Approval Date

7/15/2024

Contract Begin Date

10/1/2024

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/15/2025
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

MONICA RIDER, Chief Medical Officer
(941) 999-0310

Contract Pharmacy Representative

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

Signed By Date

7/15/2024

340B Drug Pricing Program Database