340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO
DSH150146 COMMUNITY HOSPITAL OF NOBLE CTY INC
Print
Covered Entity Details
Entity Name
COMMUNITY HOSPITAL OF NOBLE CTY INC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH150146
Entity Address
401 SAWYER ROAD
KENDALLVILLE, IN 46755-0728
Medicare Provider Number
150146
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #11494
124 E NORTH STREET
KENDALLVILLE, IN 46755
Pharmacy Comments
Contract Details
Approval Date
7/19/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/9/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jeanne Wickens, CFO
(260) 373-8407
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/19/2017
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session