340B Drug Pricing Program Database

Pharmacy Name

WALGREEN LOUISIANA CO., INC.

Pharmacy Address

DBA: WALGREENS # 03440
2880 HIGHWAY 190
MANDEVILLE, LA 70471

Pharmacy Comments

Approval Date

3/13/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Bill Davis, Chief Executive Officer
(985) 280-8504

Contract Pharmacy Representative

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

Signed By Date

1/16/2013