Contract Pharmacy Details

WALGREEN CO.
HV07849 WASHINGTON UNIVERSITY IN ST. LOUIS

Covered Entity Details

Entity Name

WASHINGTON UNIVERSITY IN ST. LOUIS

Subdivision Name

Washington University Infectious Diseases Clinic

Type

Ryan White Part C

340B ID

HV07849

Entity Address

620 S TAYLOR AVENUE
SUITE 100
SAINT LOUIS, MO 63110-1010

Grant Number

H76HA07849

Participating Start Date

4/1/2010

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 10082
10941 OLIVE BLVD
CREVE COEUR, MO 63141

Pharmacy Comments

Contract Details

Approval Date

1/14/2022

Contract Begin Date

4/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Tina M Markovich, Program Director
(314) 747-3071

Contract Pharmacy Representative

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

Signed By Date

1/14/2022

340B Drug Pricing Program Database