340B Drug Pricing Program Database

Pharmacy Name

WALGREEN LOUISIANA CO., INC.

Pharmacy Address

DBA: WALGREENS # 07836
3671 JOOR ROAD
BATON ROUGE, LA 70814-3104

Pharmacy Comments

Approval Date

12/10/2012

Contract Begin Date

1/1/2013

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Kendall Johnson, CFO
(225) 237-1645

Contract Pharmacy Representative

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

Signed By Date

10/15/2012