Contract Pharmacy Details

WALGREEN CO.
CH0530920 HEALTHLINC, INC.

Covered Entity Details

Entity Name

HEALTHLINC, INC.

Subdivision Name

HealthLinc Valparaiso

Type

HRSA-Funded Health Center

340B ID

CH0530920

Entity Address

1001 Sturdy Rd
Valparaiso, IN 46383-4126

Grant Number

H80CS06662

Participating Start Date

1/1/2004

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS SPECIALTY PHARMACY #16317
335 MASSACHUSETTS AVENUE
INDIANAPOLIS, IN 46204

Pharmacy Comments

Contract Details

Approval Date

4/11/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

BETH WROBEL, CEO
(219) 465-9500

Contract Pharmacy Representative

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

Signed By Date

4/11/2019

340B Drug Pricing Program Database