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WALGREEN CO.
HV042580 HEALTH SERVICES CENTER
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Covered Entity Details
Entity Name
HEALTH SERVICES CENTER
Subdivision Name
Type
Ryan White Part C
340B ID
HV042580
Entity Address
608 MARTIN LUTHER KING DRIVE
HOBSON CITY, AL 36201
Grant Number
H76HA00094
Participating Start Date
7/1/1999
Last Recertification Date
2/24/2025
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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