Contract Pharmacy Details

WALGREEN LOUISIANA CO., INC.
CHC28964-03 START CORPORATION

Covered Entity Details

Entity Name

START CORPORATION

Subdivision Name

Start CHC- Covington

Type

HRSA-Funded Health Center

340B ID

CHC28964-03

Entity Address

1505 North Florida St.
Covington, LA 70433-1544

Grant Number

H80CS28964

Participating Start Date

4/1/2019

Last Recertification Date

2/12/2025

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

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