Contract Pharmacy Details

WALGREEN CO
CH057480 RIGGS COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

RIGGS COMMUNITY HEALTH CENTER, INC.

Subdivision Name

RIGGS COMMUNITY HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH057480

Entity Address

1716 Hartford St
Lafayette, IN 47904-2173

Grant Number

H80CS00565

Participating Start Date

1/1/1997

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO

Pharmacy Address

DBA: WALGREENS #10858
130 S CREASY LANE
LAFAYETTE, IN 47905

Pharmacy Comments

Contract Details

Approval Date

1/5/2017

Contract Begin Date

4/1/2017

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Bambi McQuade-Jones, President & CEO
(765) 429-2734

Contract Pharmacy Representative

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

Signed By Date

1/5/2017

340B Drug Pricing Program Database