340B Drug Pricing Program Database

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 02931
5199 N KEYSTONE
INDIANAPOLIS, IN 46205

Pharmacy Comments

Approval Date

7/2/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Sherry Gray, Chief Executive Officer
(317) 860-3962

Contract Pharmacy Representative

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

Signed By Date

7/2/2018