Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CHC16639-00 COMMUNITY HEALTH CENTER OF RICHMOND, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH CENTER OF RICHMOND, INC.

Subdivision Name

CHCR

Type

HRSA-Funded Health Center

340B ID

CHC16639-00

Entity Address

235 Port Richmond Avenue
Staten Island, NY 10302-1701

Grant Number

H80CS16639

Participating Start Date

7/1/2008

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA: WALGREENS # 07321
1227 FOREST AVE
STATEN ISLAND, NY 10310-2416

Pharmacy Comments

Contract Details

Approval Date

7/5/2012

Contract Begin Date

7/5/2012

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Henry Thompson, Executive Director
(718) 876-2599

Contract Pharmacy Representative

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

Signed By Date

7/6/2012

340B Drug Pricing Program Database