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WALGREEN CO.
RW424771 University of South Alabama
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Covered Entity Details
Entity Name
University of South Alabama
Subdivision Name
Family Specialty Clinic
Type
Ryan White Part D
340B ID
RW424771
Entity Address
2451 University Hospital Drive
Mastin 102
Mobile, AL 36617
Grant Number
H12HA24771
Participating Start Date
4/1/2020
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #17273
1351 N UNIVERSITY BLVD STE 1
MOBILE, AL 36618
Pharmacy Comments
Contract Details
Approval Date
7/3/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Benny J Stover, USA Health, CFO
(251) 445-9164
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/3/2024
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