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WALGREEN CO.
HV200201 FAMILY AND MEDICAL COUNSELING
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Covered Entity Details
Entity Name
FAMILY AND MEDICAL COUNSELING
Subdivision Name
Type
Ryan White Part C
340B ID
HV200201
Entity Address
2041 M.L. KING, JR AVE SE
SUITE 303
WASHINGTON, DC 20020
Grant Number
H76HA00178
Participating Start Date
7/1/2014
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #16049
2041 GEORGIA AVE NW #1-J10
WASHINGTON, DC 20060
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
Flora Terrell Hamilton, CEO
(202) 889-7900 Ext: 217
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/10/2019
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