340B Drug Pricing Program Database
WALGREEN EASTERN CO., INC.
DSH390195 LANKENAU MEDICAL CENTER - information as of 6/18/2025 12:15:16 AM
Covered Entity Details
Entity Name
LANKENAU MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390195
Entity Address
100 LANCASTER AVE.
WYNNEWOOD, PA 19096
Medicare Provider Number
390195
Participating Start Date
4/1/2023
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 07366
3300 DEKALB PIKE
EAST NORRITON, PA 19401
Pharmacy Comments
Contract Details
Approval Date
2/2/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/9/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Yonathan M Kebede, Vice President, Operations
(614) 323-9829
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/17/2023
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