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Walgreens #21389
CHC28964-04 START CORP
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Covered Entity Details
Entity Name
START CORP
Subdivision Name
Start Community Health Center - Galvez
Type
HRSA-Funded Health Center
340B ID
CHC28964-04
Entity Address
2300 S Galvez St
New Orleans, LA 70125-3102
Grant Number
H80CS28964
Participating Start Date
10/1/2022
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
Walgreens #21389
Pharmacy Address
Walgreens Central Fill #21389
3299 Tchulatech Dr
Suite 101
Memphis, TN 38118
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
Catherine Broussard, QA/Compliance Officer
(985) 333-2020 Ext: 2005
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/3/2023
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