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WALGREEN CO.
HV06021B VALLEY AIDS COUNCIL
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Covered Entity Details
Entity Name
VALLEY AIDS COUNCIL
Subdivision Name
Type
Ryan White Part C
340B ID
HV06021B
Entity Address
300 S. 2nd St
SUITE C
MCALLEN, TX 78501
Grant Number
H76HA00131
Participating Start Date
7/1/2009
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10300
4305 N CONWAY AVE
PALMHURST, TX 78573
Pharmacy Comments
Contract Details
Approval Date
10/11/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/7/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Wally Cantu, Executive Director
(956) 428-2653
Contract Pharmacy Representative
Walgreen
KARI MEEHAN, VICE PRESIDENT, HEALTH SYSTEMS PROGRAM
(847) 315-2663
Signed By Date
10/11/2019
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