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WALGREEN CO.
RWI98118 People of Color Against AIDS Network
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Covered Entity Details
Entity Name
People of Color Against AIDS Network
Subdivision Name
POCAAN
Type
Ryan White Part A
340B ID
RWI98118
Entity Address
4437 Rainier Ave South
Seattle, WA 98118
Grant Number
H89HA00022
Participating Start Date
4/20/2022
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06260
729 MERIDIAN AVE EAST
EDGEWOOD, WA 98371-1041
Pharmacy Comments
Contract Details
Approval Date
4/21/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steven Sawyer, Director
(206) 322-7061 Ext: 24
Contract Pharmacy Representative
Walgreens
Ruthann Archer, Director of 340B Operations
(847) 964-8116
Signed By Date
4/21/2025
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