340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
WALGREEN CO.
HV0413130B Montgomery AIDS Outreach, Inc
Print
Covered Entity Details
Entity Name
Montgomery AIDS Outreach, Inc
Subdivision Name
Wellness Center
Type
Ryan White Part C
340B ID
HV0413130B
Entity Address
3050 McGehee Road
Montomery, AL 36111
Grant Number
H76HA00099
Participating Start Date
7/1/2019
Last Recertification Date
1/31/2022
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #10947
2015 PEPPERELL PKWY.
OPELIKA, AL 36801-5441
Pharmacy Comments
Contract Details
Approval Date
7/17/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/19/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Michael R. Murphree, Chief Executive Officer
(334) 280-3349 Ext: 1001
Contract Pharmacy Representative
MAO
Ashley M. Tarrant, Interim CEO
(334) 386-0854
Signed By Date
7/17/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session