Contract Pharmacy Details

WALGREEN CO.
RWIID94 VIRGINIA DEPARTMENT OF HEALTH

Covered Entity Details

Entity Name

VIRGINIA DEPARTMENT OF HEALTH

Subdivision Name

DIVISION OF DISEASE PREVENTION - ADAP Direct Purchase

Type

Ryan White Part B ADAP Direct Purchase

340B ID

RWIID94

Entity Address

109 Governor Street
Richmond, VA 23219

Grant Number

X07HA00009

Participating Start Date

12/1/1992

Last Recertification Date

3/5/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA WALGREENS SPECIALTY PHARMACY #11388
1401 JOHNSTON WILLIS DR
THE ATRIUM 1300
NORTH CHESTERFIELD, VA 23235

Pharmacy Comments

Contract Details

Approval Date

10/17/2024

Contract Begin Date

1/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Laurie Forlano, Director Office of Epidemiology
(804) 864-7097

Contract Pharmacy Representative

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

Signed By Date

10/17/2024

340B Drug Pricing Program Database