340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
PED523300-00 CHILDREN'S HOSPITAL OF WISCONSIN, INC.
Print
Covered Entity Details
Entity Name
CHILDREN'S HOSPITAL OF WISCONSIN, INC.
Subdivision Name
Type
Children's Hospital
340B ID
PED523300-00
Entity Address
9000 W. WISCONSIN AVENUE
MILWAUKEE, WI 53226
Medicare Provider Number
523300
Participating Start Date
4/1/2010
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12638
1041 W. MAIN ST.
WHITEWATER, WI 53190
Pharmacy Comments
Contract Details
Approval Date
10/14/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scott Turner, COO CHW and EVP CHHS
(414) 266-2648
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/14/2021
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