Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CH021300 PATERSON COMMUNITY HEALTH CENTER INC.

Covered Entity Details

Entity Name

PATERSON COMMUNITY HEALTH CENTER INC.

Subdivision Name

PATERSON COMMUNITY HEALTH CENTER, INC.

Type

HRSA-Funded Health Center

340B ID

CH021300

Entity Address

32 Clinton St
Paterson, NJ 07522-1775

Grant Number

H80CS00163

Participating Start Date

4/1/2014

Last Recertification Date

3/10/2025

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

1/16/2015

Contract Begin Date

4/1/2015

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

MARY E. GARNER, CEO
(973) 790-6594 Ext: 323

Contract Pharmacy Representative

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

Signed By Date

1/16/2015

340B Drug Pricing Program Database