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WALGREEN LOUISIANA CO., INC.
CHC26580-00 COMMON GROUND HEALTH CLINIC
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Covered Entity Details
Entity Name
COMMON GROUND HEALTH CLINIC
Subdivision Name
Common Ground Health Clinic
Type
HRSA-Funded Health Center
340B ID
CHC26580-00
Entity Address
3737 General DeGaulle Dr
New Orleans, LA 70114
Grant Number
H80CS26580
Participating Start Date
7/1/2014
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
WALGREEN LOUISIANA CO., INC.
Pharmacy Address
DBA: WALGREENS # 03889
4110 GENERAL DEGAULLE DR
NEW ORLEANS, LA 70131
Pharmacy Comments
Contract Details
Approval Date
10/20/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Preston Wright Jr., CEO
(504) 302-2285
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/20/2015
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