340B Drug Pricing Program Database

Pharmacy Name

WALGREEN HASTINGS CO.

Pharmacy Address

DBA: WALGREENS # 04650
138 SUDDERTH
RUIDOSO, NM 88345

Pharmacy Comments

Approval Date

2/20/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

DALE MAXWELL, SENIOR VP & CFO
(505) 923-5353

Contract Pharmacy Representative

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

Signed By Date

1/15/2013