Contract Pharmacy Details

WALGREEN CO.
CH058480 NEIGHBORHOOD HEALTH CLINICS, INC.

Covered Entity Details

Entity Name

NEIGHBORHOOD HEALTH CLINICS, INC.

Subdivision Name

Neighborhood Health - Calhoun Site

Type

HRSA-Funded Health Center

340B ID

CH058480

Entity Address

1717 S. Calhoun st
FORT WAYNE, IN 46802

Grant Number

H80CS00548

Participating Start Date

7/1/1998

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 05452
2410 N COLISEUM BLVD
FT WAYNE, IN 46805

Pharmacy Comments

Contract Details

Approval Date

4/1/2014

Contract Begin Date

7/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/25/2025
Pharmacy closed

Contacts

Covered Entity Signing Official

Mary S. Haupert, President/CEO
(260) 458-2644

Contract Pharmacy Representative

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

Signed By Date

4/1/2014

340B Drug Pricing Program Database