340B Drug Pricing Program Database

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04608
1045 S. GRATIOT AVE.
CLINTON TOWNSHIP, MI 48036

Pharmacy Comments

Approval Date

11/10/2020

Contract Begin Date

12/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Brian Balutanski, Regional CFO
(586) 493-3044

Contract Pharmacy Representative

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

Signed By Date

10/15/2020