Contract Pharmacy Details

WALGREEN CO
DSH180067 UNIVERSITY OF KENTUCKY

Covered Entity Details

Entity Name

UNIVERSITY OF KENTUCKY

Subdivision Name

UK Chandler Hospital

Type

Disproportionate Share Hospital

340B ID

DSH180067

Entity Address

800 ROSE STREET
LEXINGTON, KY 40536

Medicare Provider Number

180067

Participating Start Date

12/1/1992

Last Recertification Date

8/15/2024

Pharmacy Details

Pharmacy Name

WALGREEN CO

Pharmacy Address

DBA: WALGREENS #12152
1775 HIGHWAY 192 W
LONDON, KY 40741

Pharmacy Comments

Contract Details

Approval Date

10/12/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Colleen Hope Swartz, Vice President for Hospital Operations
(859) 361-4496

Contract Pharmacy Representative

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

Signed By Date

10/12/2023

340B Drug Pricing Program Database