Contract Pharmacy Details

Walgreens Central Fill #21399
CHC28961-00 SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC.

Covered Entity Details

Entity Name

SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC.

Subdivision Name

Shawnee Christian Healthcare Center, Inc.

Type

HRSA-Funded Health Center

340B ID

CHC28961-00

Entity Address

234 Amy Ave.
Louisville, KY 40212-2522

Grant Number

H80CS28961

Participating Start Date

4/1/2016

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

Walgreens Central Fill #21399

Pharmacy Address

4132Plainfield Rd
Ste 110
Indianapolis, IN 46231-7021

Pharmacy Comments

Contract Details

Approval Date

1/5/2023

Contract Begin Date

4/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Lindsay Nelson, Interim CEO/COO
(502) 778-0001 Ext: 1402

Contract Pharmacy Representative

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

Signed By Date

1/5/2023

340B Drug Pricing Program Database