340B Drug Pricing Program Database

Pharmacy Name

WALGREENS OF NORTH CAROLINA INC.

Pharmacy Address

DBA: WALGREENS #16119
503 E 3RD STREET
P.O. BOX 188
PEMBROKE, NC 28372

Pharmacy Comments

Approval Date

1/9/2015

Contract Begin Date

4/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/27/2025
Pharmacy closed

Covered Entity Signing Official

Thomas E. Manynor II, Deputy President and CEO
(910) 521-2900 Ext: 104

Contract Pharmacy Representative

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

Signed By Date

1/9/2015