340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREENS SPECIALTY PHARMACY, LLC
DSH190040 Slidell Memorial Hospital
Print
Covered Entity Details
Entity Name
Slidell Memorial Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH190040
Entity Address
1001 Gause Boulevard
Slidell, LA 70458-2987
Medicare Provider Number
190040
Participating Start Date
10/1/2011
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
ALLIANCERX WALGREENS PRIME #12314
9775 SW GEMINI DR, STE 1
BEAVERTON, OR 97008
Pharmacy Comments
Contract Details
Approval Date
1/14/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/15/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Sandy Badinger, Chief Executive Officer
(985) 280-8503
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2015
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