340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN EASTERN CO., INC.
HV08103 The Cooper Health System
Print
Covered Entity Details
Entity Name
The Cooper Health System
Subdivision Name
Early Intervention Program (EIP)
Type
Ryan White Part C
340B ID
HV08103
Entity Address
3 Cooper Plaza, Suite 513
Camden, NJ 08103
Grant Number
H76HA01727
Participating Start Date
2/4/2013
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 06174
13 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094-1402
Pharmacy Comments
Contract Details
Approval Date
10/13/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Pamela Gorman, Administrative Director, Early Intervention Program and Infectious Diseases
(856) 963-3833
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/13/2017
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