340B Drug Pricing Program Database
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WALGREEN CO.
CHC28353-00 LifeSpring Inc.
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Covered Entity Details
Entity Name
LifeSpring Inc.
Subdivision Name
LifeSpring Community Medical Services
Type
HRSA-Funded Health Center
340B ID
CHC28353-00
Entity Address
1036 SHARON DR
JEFFERSONVILLE, IN 47130-4522
Grant Number
H80CS28353
Participating Start Date
10/1/2015
Last Recertification Date
3/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03488
934 SPRING ST # 940
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
10/8/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Beth Keeney, President/CEO
(812) 206-1362
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/8/2015
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