340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CAH501323-00 JEFFERSON HEALTHCARE
Print
Covered Entity Details
Entity Name
JEFFERSON HEALTHCARE
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501323-00
Entity Address
834 Sheridan St
Port Townsend, WA 98368
Medicare Provider Number
501323
Participating Start Date
1/1/2011
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #10926
490 W. WASHINGTON ST.
SEQUIM, WA 98382
Pharmacy Comments
Contract Details
Approval Date
7/12/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Hilary Whittington, CFO
(360) 385-2200 Ext: 2094
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/12/2017
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