340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH051028A LAKE SUPERIOR COMMUNITY HEALTH CENTER
Print
Covered Entity Details
Entity Name
LAKE SUPERIOR COMMUNITY HEALTH CENTER
Subdivision Name
LSCHC SUPERIOR CLINIC
Type
HRSA-Funded Health Center
340B ID
CH051028A
Entity Address
2222 E 5th St Bldg
Superior, WI 54880
Grant Number
H80CS00811
Participating Start Date
4/1/2004
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #13163
18 SE 10TH ST
GRAND RAPIDS, MN 55744
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lee Homan, CEO
(218) 336-3503
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/14/2024
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