Contract Pharmacy Details

WALGREEN LOUISIANA CO., INC.
CHC28964-02 START CORPORATION

Covered Entity Details

Entity Name

START CORPORATION

Subdivision Name

Start CHC- New Orleans

Type

HRSA-Funded Health Center

340B ID

CHC28964-02

Entity Address

701 Loyola Ave
New Orleans, LA 70113-1912

Grant Number

H80CS28964

Participating Start Date

4/1/2019

Last Recertification Date

2/16/2024

Entity Termination Date

1/1/2025

Pharmacy Details

Pharmacy Name

WALGREEN LOUISIANA CO., INC.

Pharmacy Address

DBA: WALGREENS #11138
1415 ST CHARLES ST
HOUMA, LA 70360-3964

Pharmacy Comments

Contract Details

Approval Date

10/1/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2025
Covered Entity Terminated

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