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WALGREEN CO.
FQHCLA307 Ector County Hospital District
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Covered Entity Details
Entity Name
Ector County Hospital District
Subdivision Name
Ector County Hospital District
Type
Health Center Program Look-Alike
340B ID
FQHCLA307
Entity Address
840 W. Clements
Odessa, TX 79763-4601
Grant Number
LALCS00007
Participating Start Date
4/1/2015
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06715
1305 W UNIVERSITY BLVD
ODESSA, TX 79764-7121
Pharmacy Comments
Contract Details
Approval Date
7/6/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/6/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
David M Garcia, Executive Director
(432) 640-4868
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/6/2015
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