Contract Pharmacy Details

WALGREEN CO.
CH044150 ALBANY AREA PRIMARY HEALTH CARE, INC

Covered Entity Details

Entity Name

ALBANY AREA PRIMARY HEALTH CARE, INC

Subdivision Name

ALBANY AREA PRIMARY HEALTH CARE, INC.

Type

HRSA-Funded Health Center

340B ID

CH044150

Entity Address

204 N.WESTOVER BLVD.
ALBANY, GA 31707

Grant Number

H80CS00763

Participating Start Date

4/1/2003

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

RITE AID #11857
2400 DAWSON RD
ALBANY, GA 31707

Pharmacy Comments

Contract Details

Approval Date

4/5/2018

Contract Begin Date

4/6/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/29/2018
Pharmacy closed

Contacts

Covered Entity Signing Official

Shelley Spires, Chief Executive Officer
(229) 888-6559 Ext: 6209

Contract Pharmacy Representative

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

Signed By Date

4/5/2018

340B Drug Pricing Program Database