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WALGREEN LOUISIANA CO., INC.
RWI70119B NO/AIDS Task Force (d.b.a) CrescentCare
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Covered Entity Details
Entity Name
NO/AIDS Task Force (d.b.a) CrescentCare
Subdivision Name
CrescentCare Mid-City
Type
Ryan White Part A
340B ID
RWI70119B
Entity Address
2515 Canal Street
New Orleans, LA 70119
Grant Number
H89HA00035
Participating Start Date
1/1/2015
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
WALGREEN LOUISIANA CO., INC.
Pharmacy Address
DBA: WALGREENS # 02262
1100 ELYSIAN FIELDS
NEW ORLEANS, LA 70117
Pharmacy Comments
Contract Details
Approval Date
7/10/2018
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
7/10/2018
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