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WALGREEN CO.
HV042580A Health Services Center, Inc.
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Covered Entity Details
Entity Name
Health Services Center, Inc.
Subdivision Name
Type
Ryan White Part C
340B ID
HV042580A
Entity Address
218 South Central Ave
Alexander City, AL 35010
Grant Number
H76HA00094
Participating Start Date
1/1/2021
Last Recertification Date
2/6/2024
Entity Termination Date
4/1/2025
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
11/30/2021
Contract Begin Date
12/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
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
11/30/2021
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