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WALGREEN CO.
HV54203 Vivent Health
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Covered Entity Details
Entity Name
Vivent Health
Subdivision Name
Type
Ryan White Part C
340B ID
HV54203
Entity Address
1311 N 6th Street
MILWAUKEE, WI 53212
Grant Number
H76HA00621
Participating Start Date
4/1/2003
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07370
6442 N 76TH STREET
MILWAUKEE, WI 53223-6102
Pharmacy Comments
Contract Details
Approval Date
10/2/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Michael Gifford, CEO
(414) 225-1547
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/2/2013
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