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WALGREEN CO.
STD770572 AIDS Foundation Houston, Inc. DBA/ Allies in Hope
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Covered Entity Details
Entity Name
AIDS Foundation Houston, Inc. DBA/ Allies in Hope
Subdivision Name
Westpark
Type
Sexually Transmitted Diseases
340B ID
STD770572
Entity Address
6260 Westpark Drive
100
Houston, TX 77057
Grant Number
5 NU62PS9246850400
Participating Start Date
7/1/2019
Last Recertification Date
5/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03157
3317 MONTROSE BLVD.
HOUSTON, TX 77006
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/8/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Nicholas Williams, CFO
(713) 623-6796 Ext: 285
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/15/2020
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