340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREENS SPECIALTY PHARMACY, LLC
CAH061308-00 Conejos County Hospital Corporation
Print
Covered Entity Details
Entity Name
Conejos County Hospital Corporation
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061308-00
Entity Address
19021 US Hwy 285
La Jara, CO 81140
Medicare Provider Number
061308
Participating Start Date
1/1/2013
Last Recertification Date
8/21/2018
Entity Termination Date
7/1/2019
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188
Pharmacy Comments
Contract Details
Approval Date
7/15/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Konnie Martin, CEO
(719) 587-1202
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/15/2015
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