Contract Pharmacy Details

WALGREEN CO.
CHC24149-00 MERCY HEALTH SERVICES, INC.

Covered Entity Details

Entity Name

MERCY HEALTH SERVICES, INC.

Subdivision Name

Mercy Health Services

Type

HRSA-Funded Health Center

340B ID

CHC24149-00

Entity Address

143 SE Parkway Ct
Franklin, TN 37064

Grant Number

H80CS24149

Participating Start Date

1/1/2013

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 10657
1081 MURFREESBORO PIKE
NASHVILLE, TN 37217

Pharmacy Comments

Contract Details

Approval Date

1/11/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/31/2016
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

David Winningham, CEO
(615) 790-0567 Ext: 232

Contract Pharmacy Representative

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

Signed By Date

1/2/2013

340B Drug Pricing Program Database