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WALGREEN LOUISIANA CO., INC.
CH062376H Jefferson Community Health Care Centers, Inc
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Covered Entity Details
Entity Name
Jefferson Community Health Care Centers, Inc
Subdivision Name
Jefferson Community Health Care Centers,Inc.-Kenner
Type
HRSA-Funded Health Center
340B ID
CH062376H
Entity Address
2552 Williams Blvd
Kenner, LA 70062-5538
Grant Number
H80CS06716
Participating Start Date
4/1/2019
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
WALGREEN LOUISIANA CO., INC.
Pharmacy Address
DBA: WALGREENS # 03199
1891 BARATARIA BLVD.
MARRERO, LA 70072
Pharmacy Comments
Contract Details
Approval Date
1/18/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shondra Williams, CEO
(504) 762-8931
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/18/2024
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