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WALGREEN CO.
FP78572 ACCESS ESPERANZA CLINICS INC.
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Covered Entity Details
Entity Name
ACCESS ESPERANZA CLINICS INC.
Subdivision Name
MISSION CENTER
Type
Family Planning (Title X only)
340B ID
FP78572
Entity Address
1201 Conway
Mission, TX 78572
Grant Number
FPHPA006521
Participating Start Date
7/1/2013
Last Recertification Date
5/9/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12837
510 N. ALAMO RD.
ALAMO, TX 78516-2306
Pharmacy Comments
Contract Details
Approval Date
1/27/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Patricio C. Gonzales, Chief Executive Officer
(956) 688-3700 Ext: 3707
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/27/2017
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