Contract Pharmacy Details

WALGREEN CO.
RWII37404A Positively Living Inc.

Covered Entity Details

Entity Name

Positively Living Inc.

Subdivision Name

Type

Ryan White Part B

340B ID

RWII37404A

Entity Address

1331 Union Ave
1240
Memphis, TN 38104

Grant Number

X07HA00024

Participating Start Date

1/1/2021

Last Recertification Date

3/4/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04735
3670 RIVERDALE ROAD
MEMPHIS, TN 38115

Pharmacy Comments

Contract Details

Approval Date

4/15/2021

Contract Begin Date

7/1/2021

Carve-In Effective Date

Contract Comments

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

4/15/2021

340B Drug Pricing Program Database