340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN ARIZONA DRUG CO.
RWII86305B Northland Cares
Print
Covered Entity Details
Entity Name
Northland Cares
Subdivision Name
Cottonwood
Type
Ryan White Part B
340B ID
RWII86305B
Entity Address
203 S. Candy Lane, Suite 3AB
Cottonwood, AZ 86326
Grant Number
X07HA00080
Participating Start Date
1/1/2017
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN ARIZONA DRUG CO.
Pharmacy Address
DBA: WALGREENS #09571
1020 N HIGHWAY 89
CHINO VALLEY, AZ 86323
Pharmacy Comments
Contract Details
Approval Date
1/9/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/2/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Laurie Silver, Executive Director
(928) 776-4612 Ext: 14
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/9/2017
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