340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
DSH110076 DEKALB MEDICAL CENTER, INC - DBA EMORY DECATUR HOSPITAL
Print
Covered Entity Details
Entity Name
DEKALB MEDICAL CENTER, INC - DBA EMORY DECATUR HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH110076
Entity Address
2701 NORTH DECATUR ROAD
DECATUR, GA 30033
Medicare Provider Number
110076
Participating Start Date
4/1/2002
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06032
595 PIEDMONT AVE NE STE 100
ATLANTA, GA 30308-2480
Pharmacy Comments
Contract Details
Approval Date
10/12/2012
Contract Begin Date
10/12/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JOHN SHELTON, President and Chief Executive Officer
(404) 501-5209
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/12/2012
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