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WALGREEN EASTERN CO., INC.
STD10018 Gay Men's Health Crisis, Inc. (GMHC)
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Covered Entity Details
Entity Name
Gay Men's Health Crisis, Inc. (GMHC)
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD10018
Entity Address
307 W. 38th Street
New York, NY 10018
Grant Number
6NH25PS005177
Participating Start Date
7/1/2021
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 03916
758 ARTHUR KILL RD
STATEN ISLAND, NY 10312-2141
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kishani C Moreno, Interim CEO and COO
(212) 367-1492
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/15/2024
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