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WALGREEN CO.
STD78572 ACCESS ESPERANZA CLINICS INC.
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Covered Entity Details
Entity Name
ACCESS ESPERANZA CLINICS INC.
Subdivision Name
Mission Center
Type
Sexually Transmitted Diseases
340B ID
STD78572
Entity Address
1201 Conway
Mission, TX 78572
Grant Number
NH25PS005182
Participating Start Date
7/1/2014
Last Recertification Date
5/9/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12837
510 N. ALAMO RD.
ALAMO, TX 78516-2306
Pharmacy Comments
Contract Details
Approval Date
1/27/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Patricio C. Gonzales, Chief Executive Officer
(956) 688-3700 Ext: 3707
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/27/2017
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