Contract Pharmacy Details

WALGREEN CO.
RWII37404 Positively Living, Inc.

Covered Entity Details

Entity Name

Positively Living, Inc.

Subdivision Name

Type

Ryan White Part B

340B ID

RWII37404

Entity Address

5721 Marlin Rd
3600
Chattanooga, TN 37411

Grant Number

X07HA00024

Participating Start Date

7/1/2018

Last Recertification Date

3/4/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04330
121 N. NORTHSHORE DRIVE
KNOXVILLE, TN 37919

Pharmacy Comments

Contract Details

Approval Date

7/22/2019

Contract Begin Date

10/1/2019

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Steve Jenkins, Chief Executive Officer
(865) 556-5217

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

7/22/2019

340B Drug Pricing Program Database