Contract Pharmacy Details

WALGREEN LOUISIANA CO., INC.
CHC28964-01 START CORPORATION

Covered Entity Details

Entity Name

START CORPORATION

Subdivision Name

Theodore Duhe Center

Type

HRSA-Funded Health Center

340B ID

CHC28964-01

Entity Address

235 Civic Center Blvd
Houma, LA 70360-5937

Grant Number

H80CS28964

Participating Start Date

7/1/2018

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

WALGREEN LOUISIANA CO., INC.

Pharmacy Address

DBA WALGREENS SPECIALTY PHARMACY #16395
2000 CANAL ST STE G1-1200
NEW ORLEANS, LA 70112

Pharmacy Comments

Contract Details

Approval Date

10/1/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Catherine Broussard, QA/Compliance Officer
(985) 333-2020 Ext: 2005

Contract Pharmacy Representative

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

Signed By Date

10/1/2020

340B Drug Pricing Program Database