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The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
WALGREEN CO.
RWII36105 West Alabama AIDS Outreach
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Covered Entity Details
Entity Name
West Alabama AIDS Outreach
Subdivision Name
Five Horizons Health Services - Beacon Center
Type
Ryan White Part B
340B ID
RWII36105
Entity Address
3091 Gaston Avenue
Unit B
Montgomery, AL 36105
Grant Number
X07HA00049
Participating Start Date
10/1/2023
Last Recertification Date
1/29/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #10947
2015 PEPPERELL PKWY.
OPELIKA, AL 36801-5441
Pharmacy Comments
Contract Details
Approval Date
1/10/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
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
1/10/2024
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