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WALGREEN CO.
STD752191 Texas Health Action
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Covered Entity Details
Entity Name
Texas Health Action
Subdivision Name
Kind Clinic
Type
Sexually Transmitted Diseases
340B ID
STD752191
Entity Address
3802 Cedar Springs Road
Dallas, TX 75219
Grant Number
NH25PS005182
Participating Start Date
7/1/2021
Last Recertification Date
5/28/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11271
2525 W. ANDERSON LANE
BUILDING 2
AUSTIN, TX 78757
Pharmacy Comments
Contract Details
Approval Date
4/15/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chris Adams, CFO
(512) 643-8770
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2022
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