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M L K PHARMACY
RWII27292 Positive Wellness Alliance
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Covered Entity Details
Entity Name
Positive Wellness Alliance
Subdivision Name
Type
Ryan White Part B
340B ID
RWII27292
Entity Address
3504 Vest mill rd.
Winston-Salem, NC 27103
Grant Number
X07HA00051-33-02
Participating Start Date
7/1/2013
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
M L K PHARMACY
Pharmacy Address
1489 NEW WALKERTOWN ROAD
WINSTON-SALEM, NC 27101-3319
Pharmacy Comments
Contract Details
Approval Date
8/7/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Julie Meyer, Executive Director
(336) 248-4646 Ext: 7103
Contract Pharmacy Representative
Pratik Shah, Owner
(336) 722-0077
Signed By Date
8/7/2017
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