340B Drug Pricing Program Database
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WALGREEN CO.
RWII37404B Positively Living Inc.
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Covered Entity Details
Entity Name
Positively Living Inc.
Subdivision Name
Type
Ryan White Part B
340B ID
RWII37404B
Entity Address
1331 Union Ave
750H
Memphis, TN 38104
Grant Number
X07HA00024
Participating Start Date
1/1/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05676
1359 POPLAR AVE
MEMPHIS, TN 38104
Pharmacy Comments
Contract Details
Approval Date
1/15/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/15/2021
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
1/15/2021
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