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WALGREEN CO.
STD78589 ACCESS ESPERANZA CLINICS INC.
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Covered Entity Details
Entity Name
ACCESS ESPERANZA CLINICS INC.
Subdivision Name
San Juan Community Center
Type
Sexually Transmitted Diseases
340B ID
STD78589
Entity Address
509 East Earling Road
San Juan, TX 78589
Grant Number
6 NH25PS004360-04-01
Participating Start Date
7/1/2014
Last Recertification Date
4/27/2018
Entity Termination Date
7/1/2019
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10551
1701 W BUSINESS HWY 83
WESLACO, TX 78596-5653
Pharmacy Comments
Contract Details
Approval Date
1/27/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Covered Entity Terminated
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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