Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CH020490 William F. Ryan Community Health Center, Inc.

Covered Entity Details

Entity Name

William F. Ryan Community Health Center, Inc.

Subdivision Name

Ryan Health | West 97th Street

Type

HRSA-Funded Health Center

340B ID

CH020490

Entity Address

110 W 97th St
NEW YORK, NY 10025-6450

Grant Number

H80CS00061

Participating Start Date

7/1/1998

Last Recertification Date

3/5/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA: WALGREENS #10912
2575 BROADWAY
NEW YORK, NY 10025

Pharmacy Comments

Contract Details

Approval Date

7/27/2011

Contract Begin Date

7/27/2011

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/3/2019
Pharmacy closed

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

340B Drug Pricing Program Database