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WALGREEN CO.
CHC33642-00 AIDS Action Coalition of Huntsville
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Covered Entity Details
Entity Name
AIDS Action Coalition of Huntsville
Subdivision Name
Thrive Alabama
Type
HRSA-Funded Health Center
340B ID
CHC33642-00
Entity Address
3500 Memorial Parkway S.W.
Huntsville, AL 35801
Grant Number
H80CS33642
Participating Start Date
1/1/2020
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10523
1613 GLENN BLVD SW
FORT PAYNE, AL 35968
Pharmacy Comments
Contract Details
Approval Date
1/7/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary Elizabeth Marr, CEO
(256) 337-8283
Contract Pharmacy Representative
Walgreens Co.
Lauren Schroeder, Analyst, 340B Client Relationship
(847) 315-5072
Signed By Date
1/7/2020
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