Contract Pharmacy Details

WALGREEN CO.
RWI761111C AIDS Healthcare Foundation

Covered Entity Details

Entity Name

AIDS Healthcare Foundation

Subdivision Name

AHF Healthcare Center - Houston Binz

Type

Ryan White Part A

340B ID

RWI761111C

Entity Address

1200 Binz Street
Suite 1040
Houston, TX 77004

Grant Number

H89HA00004

Participating Start Date

7/1/2018

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 05965
9350 HIGHWAY 6 SOUTH
HOUSTON, TX 77083

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

340B Drug Pricing Program Database