340B Drug Pricing Program Database
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WALGREEN CO.
West Alabama AIDS Outreach dba Five Horizons Health Services
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Covered Entity Details
Entity Name
West Alabama AIDS Outreach dba Five Horizons Health Services
Subdivision Name
Oxford
Type
Ryan White Part B
340B ID
Entity Address
2890 South Lamar Blvd
Oxford, MS 38655
Grant Number
X07HA00036
Participating Start Date
Last Recertification Date
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07757
1808 UNIVERSITY AVE
OXFORD, MS 38655-4112
Pharmacy Comments
Contract Details
Approval Date
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Will Rainer, Chief Compliance Officer
(659) 734-2319
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2025
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