340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walgreens #21423
STD41179 Fresh Start Health PSC
Print
Covered Entity Details
Entity Name
Fresh Start Health PSC
Subdivision Name
Vanceburg Site
Type
Sexually Transmitted Diseases
340B ID
STD41179
Entity Address
207 Plummers Lane
Vanceburg, KY 41179
Grant Number
6NH25PS005135-01-01
Participating Start Date
1/1/2024
Last Recertification Date
5/8/2024
Pharmacy Details
Pharmacy Name
Walgreens #21423
Pharmacy Address
Walgreens Central Fill #21423
6275 Winchester Blvd
Canal WInchester, OH 43110-6537
Pharmacy Comments
Contract Details
Approval Date
4/4/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jerrel Boyer, Medical Director
(606) 923-1124 Ext: 6062258298
Contract Pharmacy Representative
Walgreens
Thomas Lindstrom, Health Systems Manager
(713) 876-5370
Signed By Date
4/4/2025
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