340B Drug Pricing Program Database

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 05124
8628 S COTTAGE GROVE AVE
CHICAGO, IL 60619

Pharmacy Comments

Approval Date

3/16/2012

Contract Begin Date

3/16/2012

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Warren J. Brodine, Chief Executive Officer
(773) 768-5000 Ext: 1001

Contract Pharmacy Representative

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

Signed By Date