340B Drug Pricing Program Database

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 03308
4265 STATE RD.
CLEVELAND, OH 44109

Pharmacy Comments

Approval Date

12/30/2011

Contract Begin Date

12/13/2011

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Edward R. Hills, CHIEF Operating Officer
(216) 778-7759

Contract Pharmacy Representative

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

Signed By Date