340B Drug Pricing Program Database

Pharmacy Name

WALGREEN LOUISIANA CO., INC.

Pharmacy Address

DBA: WALGREENS #10537
916 N. PINE ST.
DERIDDER, LA 70634-2816

Pharmacy Comments

Approval Date

10/14/2021

Contract Begin Date

10/20/2021

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Jarred Veillon, Chief Financial Officer
(337) 462-7495

Contract Pharmacy Representative

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

Signed By Date

10/14/2021