340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH05320B HealthNet, Inc.
Print
Covered Entity Details
Entity Name
HealthNet, Inc.
Subdivision Name
Southwest Health Center
Type
HRSA-Funded Health Center
340B ID
CH05320B
Entity Address
1522 W Morris St
Indianapolis, IN 46221-1629
Grant Number
H80CS00114
Participating Start Date
10/1/1996
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #10929
1650 EAST RAYMOND STREET
INDIANAPOLIS, IN 46203-4143
Pharmacy Comments
Contract Details
Approval Date
12/19/2006
Contract Begin Date
12/19/2006
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/5/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
12/19/2006
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