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WALGREEN CO.
CHC330723-02 University of Wyoming
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Covered Entity Details
Entity Name
University of Wyoming
Subdivision Name
Albany Community Health Clinic
Type
HRSA-Funded Health Center
340B ID
CHC330723-02
Entity Address
2710 E. HARNEY STREET STE 202-204
Laramie, WY 82072-5401
Grant Number
H80CS30723
Participating Start Date
7/1/2019
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #15606
4005 EAST GRAND AVENUE
LARAMIE, WY 82070
Pharmacy Comments
Contract Details
Approval Date
10/10/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Diana Grant Hulme, Associate Vice President Research
(307) 766-6811
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/10/2019
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