Contract Pharmacy Details

WALGREEN LOUISIANA CO., INC.
CHC12863-00 St. Thomas Community Health Center, Inc.

Covered Entity Details

Entity Name

St. Thomas Community Health Center, Inc.

Subdivision Name

St Thomas CHC at 1936-1938 Magazine Street

Type

HRSA-Funded Health Center

340B ID

CHC12863-00

Entity Address

1936 Magazine St
New Orleans, LA 70130

Grant Number

H80CS12863

Participating Start Date

1/1/2012

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN LOUISIANA CO., INC.

Pharmacy Address

DBA: WALGREENS # 06637
1544 MANHATTAN BLVD
HARVEY, LA 70058

Pharmacy Comments

Contract Details

Approval Date

7/10/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/4/2019
Pharmacy closed

Contacts

Covered Entity Signing Official

Donald Erwin, CEO
(504) 529-5558

Contract Pharmacy Representative

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

Signed By Date

7/10/2018

340B Drug Pricing Program Database