340B Drug Pricing Program Database
WALGREEN CO.
STD39302 West Alabama AIDS Outreach dba Five Horizons Health Services - information as of 5/27/2025 2:44:46 PM
Covered Entity Details
Entity Name
West Alabama AIDS Outreach dba Five Horizons Health Services
Subdivision Name
Five Horizons Health Services
Type
Sexually Transmitted Diseases
340B ID
STD39302
Entity Address
1926 23rd Avenue
Meridian, MS 39302
Grant Number
NH25PS005147
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07757
1808 UNIVERSITY AVE
OXFORD, MS 38655-4112
Pharmacy Comments
Contract Details
Approval Date
5/13/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Will Rainer, Chief Compliance Officer
(659) 734-2319
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/7/2025
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