Contract Pharmacy Details

WALGREEN CO.
RWII37917 Positively Living, Inc.

Covered Entity Details

Entity Name

Positively Living, Inc.

Subdivision Name

Type

Ryan White Part B

340B ID

RWII37917

Entity Address

1925 Ailor Ave
Knoxville, TN 37921

Grant Number

X07HA00024

Participating Start Date

4/1/2016

Last Recertification Date

3/4/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04169
4001 CHAPMAN HIGHWAY
KNOXVILLE, TN 37920

Pharmacy Comments

Contract Details

Approval Date

4/21/2016

Contract Begin Date

7/1/2016

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Steve Jenkins, Chief Executive Officer
(865) 556-5217

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

4/21/2016

340B Drug Pricing Program Database