340B Drug Pricing Program Database
WALGREEN CO.
STD631083 WASHINGTON UNIVERSITY IN ST. LOUIS - information as of 5/27/2025 2:46:48 PM
Covered Entity Details
Entity Name
WASHINGTON UNIVERSITY IN ST. LOUIS
Subdivision Name
The SPOT
Type
Sexually Transmitted Diseases
340B ID
STD631083
Entity Address
4169 LACLEDE AVENUE
ST. LOUIS, MO 63108-2812
Grant Number
1NH25PS005142
Participating Start Date
1/1/2020
Last Recertification Date
5/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 11744
1302 CLARKSON CLAYTON CENTER
ELLISVILLE, MO 63011
Pharmacy Comments
Contract Details
Approval Date
1/14/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kimberly Jean Donica, Project Director
(314) 535-7275 Ext: 202
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2022
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