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WALGREEN CO.
CH05320M HealthNet, Inc.
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Covered Entity Details
Entity Name
HealthNet, Inc.
Subdivision Name
Harshman Middle School
Type
HRSA-Funded Health Center
340B ID
CH05320M
Entity Address
1501 E 10th St
Indianapolis, IN 46201-1909
Grant Number
H80CS00114
Participating Start Date
10/1/2013
Last Recertification Date
2/3/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #15116
5580 GEORGETOWN ROAD
INDIANAPOLIS, IN 46254
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Varon Edward Cantrell, Chief Medical Officer
(317) 957-2015
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/13/2023
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