340B Drug Pricing Program Database
WALGREEN CO.
FQHCLA354 ASPIRE INDIANA HEALTH INC - information as of 6/21/2025 12:34:57 AM
Covered Entity Details
Entity Name
ASPIRE INDIANA HEALTH INC
Subdivision Name
Aspire Indiana Health - Carmel
Type
Health Center Program Look-Alike
340B ID
FQHCLA354
Entity Address
697 Pro-Med Ln
Carmel, IN 46032-5323
Grant Number
LALCS31260
Participating Start Date
1/1/2018
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03442
7506 N SHADELAND AVE
INDIANAPOLIS, IN 46250
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kevin Gregory Sheward, Vice President, Strategy & Business Development
(317) 587-0537
Contract Pharmacy Representative
Walgreens
Ruthann Archer, Director of 340B Operations
(847) 964-8116
Signed By Date
4/15/2025
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