Contract Pharmacy Details

WALGREEN CO.
FQHCLA354 ASPIRE HEALTH CENTER

Covered Entity Details

Entity Name

ASPIRE HEALTH CENTER

Subdivision Name

Aspire Indiana Health - Carmel

Type

Health Center Program Look-Alike

340B ID

FQHCLA354

Entity Address

697 Pro-med Lane
Carmel, IN 46032-5323

Grant Number

LALCS31260

Participating Start Date

1/1/2018

Last Recertification Date

3/4/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS SPECIALTY PHARMACY #16317
335 MASSACHUSETTS AVENUE
INDIANAPOLIS, IN 46204

Pharmacy Comments

Contract Details

Approval Date

4/15/2025

Contract Begin Date

7/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Kevin Gregory Sheward, Vice President, Strategy & Business Development
(317) 587-0537

Contract Pharmacy Representative

Walgreens
Ruthann Archer, Director of 340B Operations
(847) 964-8116

Signed By Date

4/15/2025

340B Drug Pricing Program Database