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Walgreens MFC #21373
STD77469 Fort Bend County Health and Human Services
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Covered Entity Details
Entity Name
Fort Bend County Health and Human Services
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD77469
Entity Address
4520 Reading Road
Rosenberg, TX 77471
Grant Number
NH25PS005182
Participating Start Date
6/26/2020
Last Recertification Date
5/17/2024
Pharmacy Details
Pharmacy Name
Walgreens MFC #21373
Pharmacy Address
4100 Dale Earnhardt Way
200
Northlake, TX 76262
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Letosha Gale-Lowe, HHS Director and LHA
(281) 238-3500
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2025
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