340B Drug Pricing Program Database

Pharmacy Name

WALGREEN LOUISIANA CO., INC.

Pharmacy Address

DBA: WALGREENS # 10536
1930 E MADISON AVE
BASTROP, LA 71220-4034

Pharmacy Comments

Approval Date

1/11/2022

Contract Begin Date

4/1/2022

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Derrick Frazier, Chief Executive Officer
(318) 283-3601

Contract Pharmacy Representative

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

Signed By Date

1/11/2022