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WALGREEN CO.
STD78550 Valley AIDS Council
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Covered Entity Details
Entity Name
Valley AIDS Council
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD78550
Entity Address
2306 Camelot Plaza Circle
Harlingen, TX 78550-8407
Grant Number
NU62PS924529
Participating Start Date
1/1/2017
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10551
1701 W BUSINESS HWY 83
WESLACO, TX 78596-5653
Pharmacy Comments
Contract Details
Approval Date
7/8/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Wally Cantu, Executive Director
(956) 428-2653
Contract Pharmacy Representative
Walgreen
KARI MEEHAN, VICE PRESIDENT, HEALTH SYSTEMS PROGRAM
(847) 315-2663
Signed By Date
7/8/2019
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