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WALGREEN EASTERN CO., INC.
RWI11432 AIDS Center of Queens County, Inc.
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Covered Entity Details
Entity Name
AIDS Center of Queens County, Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI11432
Entity Address
161-21 Jamaica Avenue, 6th Floor
Jamaica, NY 11432-6113
Grant Number
H89HA00015
Participating Start Date
10/1/2013
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #18204
355 KNICKERBOCKER AVE
BROOKLYN, NY 11237-3740
Pharmacy Comments
Contract Details
Approval Date
7/13/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/13/2022
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