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WALGREEN ARIZONA DRUG CO.
STD85282 Be Well Family Care
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Covered Entity Details
Entity Name
Be Well Family Care
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD85282
Entity Address
1492 S. MILL AVE.
SUITE 212
Tempe, AZ 85281
Grant Number
NU62PS924818
Participating Start Date
4/1/2022
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
WALGREEN ARIZONA DRUG CO.
Pharmacy Address
DBA: WALGREENS # 06784
2024 W MAIN STREET
MESA, AZ 85201-6802
Pharmacy Comments
Contract Details
Approval Date
1/15/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Micaela Aida Simon, Owner/Provider
(480) 410-4128
Contract Pharmacy Representative
Walgreen
KARI MEEHAN, VICE PRESIDENT, HEALTH SYSTEMS PROGRAM
(847) 315-2663
Signed By Date
1/15/2023
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