Contract Pharmacy Details

WALGREEN CO.
CH042900A MERIDIAN EDUCATION RESOURCE GROUP, INC.

Covered Entity Details

Entity Name

MERIDIAN EDUCATION RESOURCE GROUP, INC.

Subdivision Name

WHITEFOORD ELEM SCHL HLTH CLINIC

Type

HRSA-Funded Health Center

340B ID

CH042900A

Entity Address

35 WHITEFOORD AVE, SE
ATLANTA, GA 30317-1727

Grant Number

H80CS00884

Participating Start Date

4/1/1997

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 05336
5320 MEMORIAL DR
STONE MOUNTAIN, GA 30083

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

Yvettte Hagins, CEO
(404) 523-2500 Ext: 118

Contract Pharmacy Representative

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

Signed By Date

12/19/2011

340B Drug Pricing Program Database