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WALGREEN EASTERN CO., INC.
RWI19063 Family and Community Service of Delaware County
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Covered Entity Details
Entity Name
Family and Community Service of Delaware County
Subdivision Name
Type
Ryan White Part A
340B ID
RWI19063
Entity Address
600 N Olive St
Media, PA 19063
Grant Number
H89HA00013
Participating Start Date
4/1/2014
Last Recertification Date
1/30/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 06331
2 BALTIMORE PIKE
SPRINGFIELD, PA 19064
Pharmacy Comments
Contract Details
Approval Date
4/15/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alan Edelstein, Executive Director
(610) 566-7540
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2015
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