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

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 # 09290
2500 GRANT ST
GARY, IN 46404-3508

Pharmacy Comments

Contract Details

Approval Date

3/28/2020

Contract Begin Date

3/30/2020

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

3/28/2020

340B Drug Pricing Program Database