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WALGREEN LOUISIANA CO., INC.
CHC28964-05 START CORP
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Covered Entity Details
Entity Name
START CORP
Subdivision Name
Start Community Health Center - One Stop
Type
HRSA-Funded Health Center
340B ID
CHC28964-05
Entity Address
153 N 17th St
Baton Rouge, LA 70802-3800
Grant Number
H80CS28964
Participating Start Date
4/1/2023
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN LOUISIANA CO., INC.
Pharmacy Address
DBA: WALGREENS #10316
4001 CANAL ST
NEW ORLEANS, LA 70119
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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