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Walgreens MFC #21373
STD782851 SAN ANTONIO METROPOLITAN HEALTH DISTRICT
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Covered Entity Details
Entity Name
SAN ANTONIO METROPOLITAN HEALTH DISTRICT
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD782851
Entity Address
512 East Highland Blvd
Ste 150
SAN ANTONIO, TX 78210
Grant Number
NH25PS005182
Participating Start Date
1/1/1995
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
Walgreens MFC #21373
Pharmacy Address
4100 Dale Earnhardt Way
200
Northlake, TX 76262
Pharmacy Comments
Contract Details
Approval Date
1/7/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anita Kurian, Deputy Director
(210) 207-8805
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/7/2025
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