Contract Pharmacy Details

WALGREEN CO.
RWII70 VALLEY AIDS COUNCIL

Covered Entity Details

Entity Name

VALLEY AIDS COUNCIL

Subdivision Name

Type

Ryan White Part B

340B ID

RWII70

Entity Address

2306 CAMELOT PLAZA CIRCLE
HARLINGEN, TX 78550

Grant Number

X07HA00054

Participating Start Date

12/1/1992

Last Recertification Date

3/4/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA WALGREENS SPECIALTY PHARMACY #16485
7302 LOUIS PASTEUR DR STE 104
SAN ANTONIO, TX 78229

Pharmacy Comments

Contract Details

Approval Date

1/5/2022

Contract Begin Date

4/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Wally Cantu, Executive Director
(956) 428-2653

Contract Pharmacy Representative

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

Signed By Date

1/5/2022

340B Drug Pricing Program Database