Contract Pharmacy Details

WALGREEN CO.
DSH340061 UNC Hospitals

Covered Entity Details

Entity Name

UNC Hospitals

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH340061

Entity Address

101 MANNING DR.
CHAPEL HILL, NC 27514

Medicare Provider Number

340061

Participating Start Date

12/1/1992

Last Recertification Date

9/9/2024

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 07317
6405 FAYETTEVILLE ROAD
DURHAM, NC 27713

Pharmacy Comments

Contract Details

Approval Date

10/15/2015

Contract Begin Date

1/1/2016

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Christopher Ellington, CFO
(984) 974-4225

Contract Pharmacy Representative

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

Signed By Date

10/15/2015

340B Drug Pricing Program Database