340B Drug Pricing Program Database

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 03194
9050 E. 38TH STREET
INDIANAPOLIS, IN 46235

Pharmacy Comments

Approval Date

3/13/2014

Contract Begin Date

4/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/1/2018
Pharmacy closed

Covered Entity Signing Official

Michael Dale, Finanace Directror
(317) 355-8704

Contract Pharmacy Representative

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

Signed By Date

1/14/2014