Contract Pharmacy Details

WALGREEN CO.
CHC26567-00 MERIDIAN SERVICES CORP

Covered Entity Details

Entity Name

MERIDIAN SERVICES CORP

Subdivision Name

Meridian Health Services

Type

HRSA-Funded Health Center

340B ID

CHC26567-00

Entity Address

240 N Tillotson Ave
Muncie, IN 47304-3988

Grant Number

H80CS26567

Participating Start Date

4/1/2016

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 03722
110 E. CREIGHTON AVE.
FT WAYNE, IN 46803

Pharmacy Comments

Contract Details

Approval Date

4/4/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Scott Riggs, Chief Financial Officer
(765) 254-5189

Contract Pharmacy Representative

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

Signed By Date

4/4/2024

340B Drug Pricing Program Database