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WALGREEN ARIZONA DRUG CO.
STD85719 Southern Arizona AIDS Foundation
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Covered Entity Details
Entity Name
Southern Arizona AIDS Foundation
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD85719
Entity Address
375 S Euclid
Tucson, AZ 85719
Grant Number
NU62PS924675-01-00
Participating Start Date
1/1/2022
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
WALGREEN ARIZONA DRUG CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #21393
3627 N CAMPBELL AVE
TUCSON, AZ 85719
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Beth A Frantz, CEO
(520) 547-6069
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/15/2024
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