340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walgreens Central Fill #21399
CH05320V HealthNet, Inc.
Print
Covered Entity Details
Entity Name
HealthNet, Inc.
Subdivision Name
Salvation Army Family Shelter Clinic (women and children)
Type
HRSA-Funded Health Center
340B ID
CH05320V
Entity Address
540 N Alabama St
Indianapolis, IN 46204-1536
Grant Number
H80CS00114
Participating Start Date
4/1/2014
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
Walgreens Central Fill #21399
Pharmacy Address
4132Plainfield Rd
Ste 110
Indianapolis, IN 46231-7021
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
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
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