Contract Pharmacy Details

WALGREEN LOUISIANA CO., INC.
CHC12863-00 St. Thomas Community Health Center, Inc.

Covered Entity Details

Entity Name

St. Thomas Community Health Center, Inc.

Subdivision Name

St Thomas CHC at 1936-1938 Magazine Street

Type

HRSA-Funded Health Center

340B ID

CHC12863-00

Entity Address

1936 Magazine St
New Orleans, LA 70130

Grant Number

H80CS12863

Participating Start Date

1/1/2012

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN LOUISIANA CO., INC.

Pharmacy Address

DBA: WALGREENS #12557
4550 GENERAL MEYER AVE
NEW ORLEANS, LA 70131

Pharmacy Comments

Contract Details

Approval Date

10/8/2015

Contract Begin Date

1/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/15/2017
Pharmacy closed

Contacts

Covered Entity Signing Official

Donald Erwin, CEO
(504) 529-5558

Contract Pharmacy Representative

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

Signed By Date

10/8/2015

340B Drug Pricing Program Database