340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN LOUISIANA CO., INC.
CHC26579-04 C A S S E Dental Health Institute
Print
Covered Entity Details
Entity Name
C A S S E Dental Health Institute
Subdivision Name
CASSE OB/GYN Bossier Clinic
Type
HRSA-Funded Health Center
340B ID
CHC26579-04
Entity Address
2120 Airline Drive
Bossier City, LA 71111
Grant Number
H80CS26579
Participating Start Date
7/1/2018
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
WALGREEN LOUISIANA CO., INC.
Pharmacy Address
DBA: WALGREENS # 04998
9209 MANSFIELD RD.
SHREVEPORT, LA 71118
Pharmacy Comments
Contract Details
Approval Date
10/2/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeff Moody, C. O. O.
(318) 688-3350
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/2/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session