340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
RRC150015-00 FRANCISCAN HEALTH MICHIGAN CITY
Print
Covered Entity Details
Entity Name
FRANCISCAN HEALTH MICHIGAN CITY
Subdivision Name
Type
Rural Referral Center
340B ID
RRC150015-00
Entity Address
3500 Franciscan Way
MICHIGAN CITY, IN 46360
Medicare Provider Number
150015
Participating Start Date
10/1/2019
Last Recertification Date
8/22/2023
Entity Termination Date
10/1/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10123
10795 BROADWAY
CROWN POINT, IN 46307-8834
Pharmacy Comments
Contract Details
Approval Date
9/7/2012
Contract Begin Date
9/7/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
James T. Callaghan III, President
(219) 877-1410
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
8/29/2012
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