340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN EASTERN CO., INC.
CHC12866-00 BEACON CHRISTIAN COMMUNITY HEALTH CENTER
Print
Covered Entity Details
Entity Name
BEACON CHRISTIAN COMMUNITY HEALTH CENTER
Subdivision Name
Beacon Christian Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC12866-00
Entity Address
2079 Forest Avenue
Staten Island, NY 10303-1735
Grant Number
H80CS12866
Participating Start Date
1/1/2008
Last Recertification Date
3/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 06179
1551 RICHMOND AVE
STATEN ISLAND, NY 10314-1520
Pharmacy Comments
Contract Details
Approval Date
12/16/2011
Contract Begin Date
12/16/2011
Carve-In Effective Date
Contract Comments
Contacts
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
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session