340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN LOUISIANA CO., INC.
SCH190007-00 NATCHITOCHES REGIONAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
NATCHITOCHES REGIONAL MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH190007-00
Entity Address
501 KEYSER AVE
NATCHITOCHES, LA 71457
Medicare Provider Number
190007
Participating Start Date
9/7/2010
Last Recertification Date
9/13/2022
Entity Termination Date
10/1/2022
Pharmacy Details
Pharmacy Name
WALGREEN LOUISIANA CO., INC.
Pharmacy Address
DBA: WALGREENS # 09485
300 KEYSER AVE
NATCHITOCHES, LA 71457-5802
Pharmacy Comments
Contract Details
Approval Date
10/31/2012
Contract Begin Date
10/31/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
WILLIAM E. PAGE, CFO
(318) 214-4350
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/11/2012
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