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WALGREEN CO.
STD85282 Be Well Family Care
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Covered Entity Details
Entity Name
Be Well Family Care
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD85282
Entity Address
1492 S. MILL AVE.
SUITE 212
Tempe, AZ 85281
Grant Number
NU62PS924818
Participating Start Date
4/1/2022
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15317
1424 UNION AVE
MEMPHIS, TN 38104
Pharmacy Comments
Formally Bioscript Pharmacy
Contract Details
Approval Date
4/1/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Micaela Aida Simon, Owner/Provider
(480) 410-4128
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/1/2024
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