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
DBA: WALGREENS #12703
537 W. MAIN ST.
XENIA, OH 45385-2811
Pharmacy Comments
Contract Details
Approval Date
4/13/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Diane M. Cummins, Chief Operating Officer
(937) 281-5942
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/13/2017
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