Contract Pharmacy Details

WALGREEN CO.
RWI95811 Sunburst Projects

Covered Entity Details

Entity Name

Sunburst Projects

Subdivision Name

Type

Ryan White Part A

340B ID

RWI95811

Entity Address

2143 Hurley Way , Suite 240
Sacramento, CA 95825

Grant Number

H89HA00048

Participating Start Date

4/1/2014

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 06613
1401 BROADWAY
SACRAMENTO, CA 95818

Pharmacy Comments

Contract Details

Approval Date

4/7/2015

Contract Begin Date

7/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/25/2025
Pharmacy closed

Contacts

Covered Entity Signing Official

Geri DeLaRosa, Executive Director
(916) 440-0889 Ext: 306

Contract Pharmacy Representative

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

Signed By Date

4/7/2015

340B Drug Pricing Program Database