340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH03224S PENINSULA INSTITUTE FOR COMMUNITY HEALTH, INC
Print
Covered Entity Details
Entity Name
PENINSULA INSTITUTE FOR COMMUNITY HEALTH, INC
Subdivision Name
Hampton Newport News Community Services Board
Type
HRSA-Funded Health Center
340B ID
CH03224S
Entity Address
300 Medical Dr
Hampton, VA 23666-1765
Grant Number
H80CS00073
Participating Start Date
7/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04617
919 W MERCURY BLVD
HAMPTON, VA 23666
Pharmacy Comments
Contract Details
Approval Date
4/7/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Stephanie Gomez, 340B Operations Analyst
(847) 964-8785
Signed By Date
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