340B Drug Pricing Program Database

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 09849
1024 E 16TH AVE
CORDELE, GA 31015-1595

Pharmacy Comments

Approval Date

4/12/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Jessica Carter, CFO
(229) 276-3130

Contract Pharmacy Representative

CRISP REGIONAL HOSPITAL, INC.
Whitney Hill Brown, Director of Pharmacy
(229) 276-3386

Signed By Date

4/12/2019