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WALGREEN CO.
CH061949AW Lone Star Circle Of Care
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Covered Entity Details
Entity Name
Lone Star Circle Of Care
Subdivision Name
Lone Star Circle of Care at Oak Springs
Type
HRSA-Funded Health Center
340B ID
CH061949AW
Entity Address
3000 Oak Springs Dr. STE Lone Star
Austin, TX 78702-2531
Grant Number
H80CS04289
Participating Start Date
3/11/2022
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09143
504 STATE HIGHWAY 71 WEST
BASTROP, TX 78602
Pharmacy Comments
Contract Details
Approval Date
7/12/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jon Calvin, CEO
(512) 686-0523 Ext: 10451
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/12/2024
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