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WALGREEN EASTERN CO., INC.
RWI19146 URBAN HEALTH SOLUTIONS INC.
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Covered Entity Details
Entity Name
URBAN HEALTH SOLUTIONS INC.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI19146
Entity Address
1408 S BROAD STREET
FIRST FLOOR
PHILADELPHIA, PA 19146
Grant Number
H89HA00013
Participating Start Date
4/1/2011
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 07543
2310 W OREGON AVE
PHILADELPHIA, PA 19145-4122
Pharmacy Comments
Contract Details
Approval Date
4/18/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JANE BAKER, DIRECTOR
(215) 685-5667
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/18/2013
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