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WALGREEN CO.
STD981181 People of Color Against AIDS Network
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Covered Entity Details
Entity Name
People of Color Against AIDS Network
Subdivision Name
MOCHA PrEP Clinic
Type
Sexually Transmitted Diseases
340B ID
STD981181
Entity Address
4437 Rainier Ave South
Seattle, WA 98118
Grant Number
NU62PS924528
Participating Start Date
5/11/2022
Last Recertification Date
5/9/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06194
222 PIKE STREET
SEATTLE, WA 98101-3635
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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