Contract Pharmacy Details

WALGREEN LOUISIANA CO., INC.
RWI70806 HIV/AIDS ALLIANCE FOR REGION TWO, INC.

Covered Entity Details

Entity Name

HIV/AIDS ALLIANCE FOR REGION TWO, INC.

Subdivision Name

BATON ROUGE

Type

Ryan White Part A

340B ID

RWI70806

Entity Address

3849 North Blvd
BATON ROUGE, LA 70806

Grant Number

H89HA11432

Participating Start Date

7/1/2024

Last Recertification Date

Entity Termination Date

7/1/2024

Pharmacy Details

Pharmacy Name

WALGREEN LOUISIANA CO., INC.

Pharmacy Address

DBA: WALGREENS # 07836
3671 JOOR ROAD
BATON ROUGE, LA 70814-3104

Pharmacy Comments

Contract Details

Approval Date

8/23/2012

Contract Begin Date

8/23/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2024
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Sylvia Andrews, Assistant Director
(225) 358-4512

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

8/2/2012

340B Drug Pricing Program Database