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WALGREEN CO.
STD379171 Positively Living
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Covered Entity Details
Entity Name
Positively Living
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD379171
Entity Address
1925 Ailor Ave
Knoxville, TN 37921
Grant Number
1NU65PS923764-01-00
Participating Start Date
4/1/2018
Last Recertification Date
5/9/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03866
1489 AIRWAYS BLVD
MEMPHIS, TN 38114
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/13/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Steve Jenkins, Chief Executive Officer
(865) 556-5217
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/15/2020
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