340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
DSH050180 JOHN MUIR MEDICAL CENTER - WC
Print
Covered Entity Details
Entity Name
JOHN MUIR MEDICAL CENTER - WC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050180
Entity Address
1601 YGNACIO VALLEY ROAD
WALNUT CREEK, CA 94598-3198
Medicare Provider Number
050180
Participating Start Date
10/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15987
1020 29TH ST STE 140
SACRAMENTO, CA 95816
Pharmacy Comments
Contract Details
Approval Date
10/11/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Zach Harris, VP Ancillary Services
(808) 457-0157
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/11/2024
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