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Walgreens #21373
TB77469 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
Tuberculosis
340B ID
TB77469
Entity Address
Fort Bend County Health & Human Services (Administrative Office)
4520 Reading Rd
Rosenberg, TX 77471
Grant Number
NU52PS910284
Participating Start Date
8/19/2020
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
Walgreens #21373
Pharmacy Address
Walgreens Central Fill #21373
4100 Dale Earnhardt Way
STE 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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