Contract Pharmacy Details

WALGREEN CO.
CHC26566-09 JANE PAULEY COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

JANE PAULEY COMMUNITY HEALTH CENTER, INC.

Subdivision Name

Jane Pauley Community Health Center at Greenfield

Type

HRSA-Funded Health Center

340B ID

CHC26566-09

Entity Address

1107 N STATE ST
GREENFIELD, IN 46140-1207

Grant Number

H80CS26566

Participating Start Date

4/1/2015

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 07174
1195 N STATE STREET
GREENFIELD, IN 46140-1207

Pharmacy Comments

Contract Details

Approval Date

1/9/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Dale Marion, 340B Program Manager
(317) 552-0690

Contract Pharmacy Representative

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

Signed By Date

1/9/2024

340B Drug Pricing Program Database