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WALGREEN CO.
STD35801 AIDS Action Coalition of Huntsville, Inc
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Covered Entity Details
Entity Name
AIDS Action Coalition of Huntsville, Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD35801
Entity Address
600 St. Clair Ave., Bldg 7 Suite 18
Huntsville, AL 35801
Grant Number
1H25PS004326-01
Participating Start Date
1/1/2016
Last Recertification Date
5/14/2019
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06464
3120 BOB WALLACE AVE SW
HUNTSVILLE, AL 35805
Pharmacy Comments
Contract Details
Approval Date
4/20/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
ANTHONY MERRIWEATHER, STD DIVISION
(334) 206-5350
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/20/2016
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