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WALGREEN LOUISIANA CO., INC.
CHC26583-00 NO/AIDS Task Force
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Covered Entity Details
Entity Name
NO/AIDS Task Force
Subdivision Name
CrescentCare - St. Roch
Type
HRSA-Funded Health Center
340B ID
CHC26583-00
Entity Address
1631 ELYSIAN FIELDS AVE
NEW ORLEANS, LA 70117-6051
Grant Number
H80CS26583
Participating Start Date
7/1/2014
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN LOUISIANA CO., INC.
Pharmacy Address
DBA: WALGREENS #10316
4001 CANAL ST
NEW ORLEANS, LA 70119
Pharmacy Comments
Contract Details
Approval Date
4/14/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Noel Twilbeck, CEO
(504) 821-2601 Ext: 228
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/14/2016
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