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WALGREEN LOUISIANA CO., INC.
CHC26583-02 NO/AIDS TASK FORCE
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Covered Entity Details
Entity Name
NO/AIDS TASK FORCE
Subdivision Name
CrescentCare Mid-City
Type
HRSA-Funded Health Center
340B ID
CHC26583-02
Entity Address
2515 Canal St
NEW ORLEANS, LA 70119
Grant Number
H80CS26583
Participating Start Date
1/1/2015
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN LOUISIANA CO., INC.
Pharmacy Address
WALGREENS #17089
760 HARRISON AVE
NEW ORLEANS, LA 70124-3156
Pharmacy Comments
Contract Details
Approval Date
7/7/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
NOEL John TWILBECK, CEO
(504) 821-2601 Ext: 1000
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/7/2018
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