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WALGREEN LOUISIANA CO., INC.
RWI70112 THE ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND
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Covered Entity Details
Entity Name
THE ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND
Subdivision Name
TULANE TOTAL HEALTH CLINIC
Type
Ryan White Part A
340B ID
RWI70112
Entity Address
711 North Broad Street
New Orleans, LA 70119
Grant Number
H89HA00035
Participating Start Date
7/1/2018
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN LOUISIANA CO., INC.
Pharmacy Address
DBA: WALGREENS # 09690
1100 W PINE ST
PONCHATOULA, LA 70454-3700
Pharmacy Comments
Contract Details
Approval Date
10/14/2022
Contract Begin Date
10/21/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KATHLEEN M. KOZAR, Director, Sponsored projects Administration
(504) 988-5207
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/14/2022
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