340B Drug Pricing Program Database
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WALGREEN CO.
RWII68 SPECIAL HEALTH RESOURCES FOR TEXAS, INC.
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Covered Entity Details
Entity Name
SPECIAL HEALTH RESOURCES FOR TEXAS, INC.
Subdivision Name
Longview Care Clinic
Type
Ryan White Part B
340B ID
RWII68
Entity Address
409 N. 6th Street
LONGVIEW, TX 78702
Grant Number
X07HA00054
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06358
5415 S BROADWAY AVE
TYLER, TX 75703
Pharmacy Comments
Contract Details
Approval Date
3/5/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Nan Mitchell, Chief Financial Officer
(903) 234-0776 Ext: 47
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/21/2013
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