340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CHC12888-02 LORAIN COUNTY HEALTH & DENTISTRY
Print
Covered Entity Details
Entity Name
LORAIN COUNTY HEALTH & DENTISTRY
Subdivision Name
Lorain County Health & Dentistry
Type
HRSA-Funded Health Center
340B ID
CHC12888-02
Entity Address
1205 Broadway Ave.
Lorain, OH 44052-3409
Grant Number
H80CS12888
Participating Start Date
7/1/2013
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05138
100 CLEVELAND ST
ELYRIA, OH 44035
Pharmacy Comments
Contract Details
Approval Date
3/28/2014
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
04/08/2014 Due to OPA error, the Contract Pharmacy begin date has been adjusted from 4/1/2014 to 1/1/2014.
Contacts
Covered Entity Signing Official
stephanie wiersma, CEO
(440) 233-0159
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
3/28/2014
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