340B Drug Pricing Program Database
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WALGREEN EASTERN CO., INC.
RWI08861 Early Intervention Program
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Covered Entity Details
Entity Name
Early Intervention Program
Subdivision Name
Type
Ryan White Part A
340B ID
RWI08861
Entity Address
500 Lawrie Street
Perth Amboy, NJ 08861
Grant Number
H89HA00049-29-02
Participating Start Date
1/1/2025
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 05005
639 E 18TH ST
PATERSON, NJ 07501
Pharmacy Comments
Contract Details
Approval Date
1/13/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
karyn berk, registered nurse
(732) 324-5022
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/13/2025
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