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WALGREEN CO.
STD760151 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Arlington
Type
Sexually Transmitted Diseases
340B ID
STD760151
Entity Address
601 Matlock Centre Circle
Arlington, TX 76015
Grant Number
NU62PS924644
Participating Start Date
2/1/2023
Last Recertification Date
5/27/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06998
8100 MATLOCK ROAD
ARLINGTON, TX 76002
Pharmacy Comments
Contract Details
Approval Date
7/16/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/16/2023
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