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WALGREEN CO.
RWII354011C West Alabama AIDS Outreach
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Covered Entity Details
Entity Name
West Alabama AIDS Outreach
Subdivision Name
Five Horizons Health Services - Wellness Center
Type
Ryan White Part B
340B ID
RWII354011C
Entity Address
3050 McGehee Road
Montgomery, AL 36111
Grant Number
X07HA00049
Participating Start Date
3/13/2023
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07405
2940 WEST MAIN STREET
DOTHAN, AL 36305
Pharmacy Comments
01/27/2012 updated zip code (was 36303)
Contract Details
Approval Date
1/8/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Will Rainer, Chief Compliance Officer
(659) 734-2319
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/8/2024
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