340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH05320N HealthNet, Inc.
Print
Covered Entity Details
Entity Name
HealthNet, Inc.
Subdivision Name
Northeast Health Center
Type
HRSA-Funded Health Center
340B ID
CH05320N
Entity Address
3908 Meadows Dr
Indianapolis, IN 46205-3114
Grant Number
H80CS00114
Participating Start Date
1/1/2014
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05804
455 EAST EPLER AVE
INDIANAPOLIS, IN 46227
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