340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH0518280 Stacy McKay Health & Education Center
Print
Covered Entity Details
Entity Name
Stacy McKay Health & Education Center
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH0518280
Entity Address
6450 US HWY 6
PORTAGE, IN 46368
Grant Number
H80CS02458
Participating Start Date
1/1/2004
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07708
8930 CALUMET AVENUE
MUNSTER, IN 46321
Pharmacy Comments
Contract Details
Approval Date
7/8/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Hall, CEO
(219) 763-8112 Ext: 8002
Contract Pharmacy Representative
NorthShore Health Centers Inc.
Michael Wichlinski, Pharmacy Director
(219) 763-8112 Ext: 2301
Signed By Date
7/8/2020
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