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WALGREEN CO.
STD35903 Health Services Center, Inc.
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Covered Entity Details
Entity Name
Health Services Center, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD35903
Entity Address
1125 Goodyear Ave
Gadsden, AL 35903
Grant Number
6NH25PS005129-05-05
Participating Start Date
1/1/2021
Last Recertification Date
5/30/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12099
503 BATTLE ST. E
TALLADEGA, AL 35160-2540
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennae Young, Director
(256) 832-0100 Ext: 304
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/15/2021
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