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WALGREEN LOUISIANA CO., INC.
STD708091 AIDS Healthcare Foundation
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Covered Entity Details
Entity Name
AIDS Healthcare Foundation
Subdivision Name
AHF Healthcare Center - Baton Rouge (Azmeh)
Type
Sexually Transmitted Diseases
340B ID
STD708091
Entity Address
4890 Bluebonnet Blvd.
Baton Rouge, LA 70809-9649
Grant Number
NH25PS005176
Participating Start Date
7/13/2020
Last Recertification Date
5/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN LOUISIANA CO., INC.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16478
5555 ESSEN LN STE C
BATON ROUGE, LA 70809
Pharmacy Comments
Contract Details
Approval Date
1/16/2023
Contract Begin Date
4/1/2023
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
1/16/2023
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