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WALGREEN ARIZONA DRUG CO.
STD85029 TL Family Nurse Practice LLC
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Covered Entity Details
Entity Name
TL Family Nurse Practice LLC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD85029
Entity Address
3201 W Peoria Ave
A105
Phoenix, AZ 85029
Grant Number
NU51PS005142
Participating Start Date
4/1/2023
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
WALGREEN ARIZONA DRUG CO.
Pharmacy Address
DBA: WALGREENS # 05266
21632 N 35TH AVE
GLENDALE, AZ 85308
Pharmacy Comments
Contract Details
Approval Date
2/23/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tara Begay, FNP/ Co Owner
(602) 918-3225
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/17/2023
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