340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CHC26576-03 Five Rivers Health Centers
Print
Covered Entity Details
Entity Name
Five Rivers Health Centers
Subdivision Name
Five Rivers Family Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26576-03
Entity Address
2261 Philadelphia Drive
Dayton, OH 45406
Grant Number
H80CS26576
Participating Start Date
10/1/2014
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #11846
1213 N. BARRON ST
EATON, OH 45320-1013
Pharmacy Comments
Contract Details
Approval Date
10/1/2014
Contract Begin Date
10/3/2014
Carve-In Effective Date
Contract Comments
10/03/2014 Immediate Begin Date authorized
Contacts
Covered Entity Signing Official
Dave Bridge, CFO
(937) 734-6844
Contract Pharmacy Representative
Elizabeth Cervera, 340B Operations Analyst
(847) 964-8159
Signed By Date
10/1/2014
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