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WALGREENS SPECIALTY PHARMACY, LLC
STD362011 Health Services Center, Inc
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Covered Entity Details
Entity Name
Health Services Center, Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD362011
Entity Address
608 Martin Luther King Drive
Anniston, AL 36201
Grant Number
NH25PS005129-05-05
Participating Start Date
10/1/2019
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188
Pharmacy Comments
Contract Details
Approval Date
10/8/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/17/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jennae Young, Director
(256) 832-0100 Ext: 304
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/8/2019
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