Contract Pharmacy Details

WALGREEN CO.
CH0441501 ALBANY AREA PRIMARY HEALTH CARE, INC

Covered Entity Details

Entity Name

ALBANY AREA PRIMARY HEALTH CARE, INC

Subdivision Name

ADMIN OFFICE

Type

HRSA-Funded Health Center

340B ID

CH0441501

Entity Address

204 N. WESTOVER BLVD.
ALBANY, GA 31707

Grant Number

H80CS00763

Participating Start Date

7/1/2008

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 09849
1024 E 16TH AVE
CORDELE, GA 31015-1595

Pharmacy Comments

Contract Details

Approval Date

5/4/2012

Contract Begin Date

5/4/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/1/2021
Agreement registered in error

Contacts

Covered Entity Signing Official

Susan Rakel, Director of 340B and Pharmacy Services
(229) 888-6559 Ext: 6217

Contract Pharmacy Representative

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

Signed By Date

4/11/2012

340B Drug Pricing Program Database