340B Drug Pricing Program Database

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA: WALGREENS #02257
1973 FOREST AVENUE
STATEN ISLAND, NY 10303-2104

Pharmacy Comments

Approval Date

12/16/2011

Contract Begin Date

12/16/2011

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/28/2017
Pharmacy closed

Covered Entity Signing Official

David H. Kim, CEO
(718) 815-6560 Ext: 200

Contract Pharmacy Representative

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

Signed By Date

12/12/2011