Contract Pharmacy Details

WALGREEN CO.
CHC10590-01 Midtown Health Center, Inc.

Covered Entity Details

Entity Name

Midtown Health Center, Inc.

Subdivision Name

Midtown Health Center-Madison

Type

HRSA-Funded Health Center

340B ID

CHC10590-01

Entity Address

222 South Main Street
Madison, NE 68748-6485

Grant Number

H80CS10590

Participating Start Date

4/1/2010

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04531
1300 W NORFOLK AVE.
NORFOLK, NE 68701

Pharmacy Comments

Contract Details

Approval Date

10/16/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

KATHY NORDBY, Cheif Executive Officer
(402) 370-1060

Contract Pharmacy Representative

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

Signed By Date

10/16/2023

340B Drug Pricing Program Database