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WALGREEN LOUISIANA CO., INC.
CH06018A Teche Action Board, The
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Covered Entity Details
Entity Name
Teche Action Board, The
Subdivision Name
TECHE ACTION CLINIC AT DULAC
Type
HRSA-Funded Health Center
340B ID
CH06018A
Entity Address
189 MOZART STREET
HOUMA, LA 70363-7990
Grant Number
H80CS00767
Participating Start Date
1/1/2005
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
WALGREEN LOUISIANA CO., INC.
Pharmacy Address
DBA: WALGREENS # 05801
1815 W AIRLINE HWY
LAPLACE, LA 70068
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nikina Vilcan, CFO
(337) 828-2550 Ext: 2146
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/16/2024
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