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WALGREEN CO
STD55415 Hennepin County
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Covered Entity Details
Entity Name
Hennepin County
Subdivision Name
Hennepin County Public Health Clinic
Type
Sexually Transmitted Diseases
340B ID
STD55415
Entity Address
525 Portland Avenue
MC 952
Minneapolis, MN 55415
Grant Number
NH25PS0051720509
Participating Start Date
4/1/2013
Last Recertification Date
5/17/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #11421
1180 ARCADE ST
SAINT PAUL, MN 55106-2629
Pharmacy Comments
Contract Details
Approval Date
7/3/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary Jo LaCroix Meuleners, Clinic Manager
(612) 348-3283
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/3/2023
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