Contract Pharmacy Details

WALGREEN CO.
CH0438590 NEIGHBORHOOD IMPROVEMENT PROJECT, INC.

Covered Entity Details

Entity Name

NEIGHBORHOOD IMPROVEMENT PROJECT, INC.

Subdivision Name

Medical Associates Plus @ Belle Terrace

Type

HRSA-Funded Health Center

340B ID

CH0438590

Entity Address

2467 Golden Camp Rd
Augusta, GA 30906-5515

Grant Number

H80CS08751

Participating Start Date

10/14/2008

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 09789
3228 WRIGHTSBORO RD
AUGUSTA, GA 30909

Pharmacy Comments

Contract Details

Approval Date

2/1/2012

Contract Begin Date

2/1/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/6/2025
Pharmacy closed

Contacts

Covered Entity Signing Official

Janice Sherman, Chief Executive Officer
(706) 790-4440 Ext: 105

Contract Pharmacy Representative

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

Signed By Date

1/31/2012

340B Drug Pricing Program Database