340B Drug Pricing Program Database
WALGREEN CO.
FP392020 My Brother's Keeper, Inc - information as of 5/2/2025 12:00:18 AM
Covered Entity Details
Entity Name
My Brother's Keeper, Inc
Subdivision Name
Open Arms Healthcare Center
Type
Family Planning (Title X only)
340B ID
FP392020
Entity Address
805 East River Place
Jackson, MS 39202
Grant Number
FPHPA006550
Participating Start Date
10/1/2018
Last Recertification Date
5/23/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #21165
971 LAKELAND DRIVE
SUITE 101
JACKSON, MS 39216
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
June Gipson, CEO
(769) 216-2455
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/15/2018
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