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WALGREEN CO.
HV43614 UNIVERSITY OF TOLEDO
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Covered Entity Details
Entity Name
UNIVERSITY OF TOLEDO
Subdivision Name
Type
Ryan White Part C
340B ID
HV43614
Entity Address
3000 ARLINGTON AVENUE
TOLEDO, OH 43614
Grant Number
H76HA00732
Participating Start Date
4/1/2002
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09409
10003 FREMONT PIKE
PERRYSBURG, OH 43551-3330
Pharmacy Comments
Contract Details
Approval Date
11/7/2011
Contract Begin Date
11/7/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/11/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
James Trempe, Research Admin/Professor
(419) 383-6113
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
11/3/2011
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