Contract Pharmacy Details

WALGREEN CO.
HV200201 FAMILY AND MEDICAL COUNSELING

Covered Entity Details

Entity Name

FAMILY AND MEDICAL COUNSELING

Subdivision Name

Type

Ryan White Part C

340B ID

HV200201

Entity Address

2041 M.L. KING, JR AVE SE
SUITE 303
WASHINGTON, DC 20020

Grant Number

H76HA00178

Participating Start Date

7/1/2014

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

COMMUNITY, A WALGREENS PHARMACY #16419
1117 GOOD HOPE RD. SE
WASHINGTON, DC 20020

Pharmacy Comments

Contract Details

Approval Date

1/13/2017

Contract Begin Date

4/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/4/2023
Pharmacy closed

Contacts

Covered Entity Signing Official

Flora Terrell Hamilton, CEO
(202) 889-7900 Ext: 217

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

1/13/2017

340B Drug Pricing Program Database