Contract Pharmacy Details

WALGREEN CO.
STD35233 BIRMINGHAM AIDS OUTREACH INC.

Covered Entity Details

Entity Name

BIRMINGHAM AIDS OUTREACH INC.

Subdivision Name

Magic City Wellness Center

Type

Sexually Transmitted Diseases

340B ID

STD35233

Entity Address

3220 5th Avenue South
Suite 100
Birmingham, AL 35222

Grant Number

5 NH25PS005129-04

Participating Start Date

1/1/2017

Last Recertification Date

5/13/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04846
2301 CENTER POINT PKWY
CENTER POINT, AL 35215

Pharmacy Comments

Contract Details

Approval Date

10/14/2021

Contract Begin Date

10/25/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/23/2025
Pharmacy closed

Contacts

Covered Entity Signing Official

KAREN MUSGROVE, EXECUTIVE DIRECTOR
(205) 322-4197

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

10/14/2021

340B Drug Pricing Program Database