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Walgreens #21389
CHC12863-00 St. Thomas Community Health Center, Inc.
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Covered Entity Details
Entity Name
St. Thomas Community Health Center, Inc.
Subdivision Name
St Thomas CHC at 1936-1938 Magazine Street
Type
HRSA-Funded Health Center
340B ID
CHC12863-00
Entity Address
1936 Magazine St
New Orleans, LA 70130
Grant Number
H80CS12863
Participating Start Date
1/1/2012
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
Walgreens #21389
Pharmacy Address
Walgreens Central Fill #21389
3299 Tchulatech Dr
Suite 101
Memphis, TN 38118
Pharmacy Comments
Contract Details
Approval Date
4/1/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donald Erwin, CEO
(504) 529-5558
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/1/2022
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