Contract Pharmacy Details

WALGREEN CO.
CH032750 CHOPTANK COMMUNITY HEALTH SYSTEM, INC.

Covered Entity Details

Entity Name

CHOPTANK COMMUNITY HEALTH SYSTEM, INC.

Subdivision Name

DENTON MEDICAL CENTER

Type

HRSA-Funded Health Center

340B ID

CH032750

Entity Address

808 S 5th Ave
DENTON, MD 21629-1392

Grant Number

H80CS00176

Participating Start Date

4/1/1999

Last Recertification Date

3/6/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

WALGREENS #19451
21 DENTON PLZ
DENTON, MD 21629

Pharmacy Comments

Contract Details

Approval Date

3/27/2018

Contract Begin Date

3/27/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Sara K. Rich, CEO
(410) 479-4306 Ext: 5021

Contract Pharmacy Representative

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

Signed By Date

3/27/2018

340B Drug Pricing Program Database