340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH053110 INDIANA HEALTH CENTERS INCORPORATED
Print
Covered Entity Details
Entity Name
INDIANA HEALTH CENTERS INCORPORATED
Subdivision Name
INDIANA HEALTH CENTERS, INC.
Type
HRSA-Funded Health Center
340B ID
CH053110
Entity Address
8003 Castleway Dr
Indianapolis, IN 46250-1946
Grant Number
H80CS00668
Participating Start Date
12/1/1992
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09220
2845 W CLEVELAND RD
SOUTH BEND, IN 46628
Pharmacy Comments
Contract Details
Approval Date
10/24/2012
Contract Begin Date
10/24/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jose M. Perez, Interim CEO
(317) 576-1335
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/24/2012
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