Contract Pharmacy Details

WALGREEN CO.
HV06021B VALLEY AIDS COUNCIL

Covered Entity Details

Entity Name

VALLEY AIDS COUNCIL

Subdivision Name

Type

Ryan White Part C

340B ID

HV06021B

Entity Address

300 S. 2nd St
SUITE C
MCALLEN, TX 78501

Grant Number

H76HA00131

Participating Start Date

7/1/2009

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 03917
922 E KING AVE
KINGSVILLE, TX 78363

Pharmacy Comments

Contract Details

Approval Date

4/7/2022

Contract Begin Date

7/1/2022

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

4/7/2022

340B Drug Pricing Program Database