Contract Pharmacy Details

WALGREEN CO.
SCH490021-00 CENTRA HEALTH, INC

Covered Entity Details

Entity Name

CENTRA HEALTH, INC

Subdivision Name

Lynchburg General Hospital

Type

Sole Community Hospital

340B ID

SCH490021-00

Entity Address

1901 TATE SPRINGS RD
LYNCHBURG, VA 24501

Medicare Provider Number

490021

Participating Start Date

4/1/2011

Last Recertification Date

8/31/2022

Entity Termination Date

10/1/2023

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #10691
5006 BOONSBORO RD.
LYNCHBURG, VA 24503

Pharmacy Comments

Contract Details

Approval Date

Contract Begin Date

7/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

James A. Frenchik, President Centra Health Lynchburg Region
(434) 200-3014

Contract Pharmacy Representative

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

Signed By Date

4/23/2025

340B Drug Pricing Program Database