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WALGREEN ARIZONA DRUG CO.
STD85716 The Arizona Board of Regents
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Covered Entity Details
Entity Name
The Arizona Board of Regents
Subdivision Name
University of Arizona PrEP/PEP Program
Type
Sexually Transmitted Diseases
340B ID
STD85716
Entity Address
655 N. Alvernon Way Tucson
Suite 210
Tucson, AZ 85711
Grant Number
NU62PS924818
Participating Start Date
4/1/2024
Last Recertification Date
5/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN ARIZONA DRUG CO.
Pharmacy Address
DBA: WALGREENS # 04045
4685 E GRANT RD
TUCSON, AZ 85712
Pharmacy Comments
Contract Details
Approval Date
3/7/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Elisha Johnson, Director, Clinical Trials and Contracting
(520) 626-7822
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/12/2024
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