340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
RRC150015-00 FRANCISCAN HEALTH MICHIGAN CITY
Print
Covered Entity Details
Entity Name
FRANCISCAN HEALTH MICHIGAN CITY
Subdivision Name
Type
Rural Referral Center
340B ID
RRC150015-00
Entity Address
3500 Franciscan Way
MICHIGAN CITY, IN 46360
Medicare Provider Number
150015
Participating Start Date
10/1/2019
Last Recertification Date
8/22/2023
Entity Termination Date
10/1/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11084
1816 FRANKLIN ST
MICHIGAN CITY, IN 46360
Pharmacy Comments
Contract Details
Approval Date
9/5/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Trish L. Weber, VP Operations/CNO
(219) 877-1766
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/12/2019
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