340B Drug Pricing Program Database

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA; WALGREENS #11374
1023 1ST AVE NE
LITTLE FALLS, MN 56345-3336

Pharmacy Comments

Approval Date

4/11/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Lisa Bjerga, CHIEF FINANCIAL OFFICER
(218) 894-8352

Contract Pharmacy Representative

Lakewood Health System
BRIAN HINMAN, PHARMACY DIRECTOR
(218) 894-8458

Signed By Date

4/11/2019