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WALGREEN LOUISIANA CO., INC.
CH06018K Teche Action Board, The
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Covered Entity Details
Entity Name
Teche Action Board, The
Subdivision Name
FRANKLIN HEALTH CARE CENTER
Type
HRSA-Funded Health Center
340B ID
CH06018K
Entity Address
1907 CHINABERRY ST
FRANKLIN, LA 70538-5236
Grant Number
H80CS00767
Participating Start Date
1/1/2015
Last Recertification Date
2/9/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
WALGREEN LOUISIANA CO., INC.
Pharmacy Address
DBA: WALGREENS #13679
1717 VETERANS MEMORIAL BLVD
METAIRIE, LA 70005-2635
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/16/2024
Agreement registered in error
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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