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WALGREEN CO.
FP79839 Project Vida Health Center
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Covered Entity Details
Entity Name
Project Vida Health Center
Subdivision Name
Fort Hancock Clinic
Type
Family Planning (Title X only)
340B ID
FP79839
Entity Address
561 S Knox
Fort Hancock, TX 79839
Grant Number
FPHPA066072
Participating Start Date
7/1/2013
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12376
1432 ANTONIO ST.
ANTHONY, TX 79821
Pharmacy Comments
Contract Details
Approval Date
1/6/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bill Schlesinger, CEO
(915) 465-1191 Ext: 207
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/6/2017
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