340B Drug Pricing Program Database

Pharmacy Name

WALGREEN HASTINGS CO.

Pharmacy Address

DBA: WALGREENS # 05997
2625 SAN PEDRO NE
ALBUQUERQUE, NM 87110

Pharmacy Comments

Approval Date

3/7/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Ella B. Watt, CFO
(505) 272-1840

Contract Pharmacy Representative

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

Signed By Date

1/15/2013