Contract Pharmacy Details

WALGREEN CO
RWI98 DESERT AIDS PROJECT, INC

Covered Entity Details

Entity Name

DESERT AIDS PROJECT, INC

Subdivision Name

SAN BERNARDINO COUNTY PUBLIC HEALTH DEPT

Type

Ryan White Part A

340B ID

RWI98

Entity Address

Desert AIDS Project HIVHC
1695 NORTH SUNRISE WAY
PALM SPRINGS, CA 92262

Grant Number

H89HA00032

Participating Start Date

7/1/2025

Last Recertification Date

Pharmacy Details

Pharmacy Name

WALGREEN CO

Pharmacy Address

DBA: WALGREENS #09885
2465 E. PALM CANYON DR, BLDG 14
PALM SPRINGS, CA 92264

Pharmacy Comments

Contract Details

Approval Date

1/3/2012

Contract Begin Date

1/3/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2023
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Joy Hamilton, Director of Clinical Services
(760) 323-2118 Ext: 251

Contract Pharmacy Representative

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

Signed By Date

12/29/2011

340B Drug Pricing Program Database