Contract Pharmacy Details

WALGREEN CO.
CH031270 FAMILY HEALTH CENTERS OF BALTIMORE, INC.

Covered Entity Details

Entity Name

FAMILY HEALTH CENTERS OF BALTIMORE, INC.

Subdivision Name

HEADQUARTERS

Type

HRSA-Funded Health Center

340B ID

CH031270

Entity Address

631 CHERRY HILL ROAD
BALTIMORE, MD 21225

Grant Number

H80CS00436

Participating Start Date

7/1/1996

Last Recertification Date

1/30/2023

Entity Termination Date

1/1/2024

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 06396
8606 PHILADELPHIA RD
ROSEDALE, MD 21237

Pharmacy Comments

Contract Details

Approval Date

8/17/2012

Contract Begin Date

8/17/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2024
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Paula McLellan, CEO
(410) 354-2003

Contract Pharmacy Representative

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

Signed By Date

8/10/2012

340B Drug Pricing Program Database