Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
CH022070 ANTHONY L JORDAN HEALTH CORP

Covered Entity Details

Entity Name

ANTHONY L JORDAN HEALTH CORP

Subdivision Name

Main Site

Type

HRSA-Funded Health Center

340B ID

CH022070

Entity Address

82 Holland St
Rochester, NY 14605-2131

Grant Number

H80CS21582

Participating Start Date

10/1/2011

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC.

Pharmacy Address

WALGREENS #19725
1490 LAKE AVE
ROCHESTER, NY 14615

Pharmacy Comments

Contract Details

Approval Date

3/2/2018

Contract Begin Date

3/2/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/19/2024
Pharmacy closed

Contacts

Covered Entity Signing Official

Jonathan Clune, CFO
(585) 423-2813

Contract Pharmacy Representative

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

Signed By Date

3/2/2018

340B Drug Pricing Program Database