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WALGREEN CO
RWII37404 Positively Living, Inc.
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Covered Entity Details
Entity Name
Positively Living, Inc.
Subdivision Name
Type
Ryan White Part B
340B ID
RWII37404
Entity Address
5721 Marlin Rd
3600
Chattanooga, TN 37411
Grant Number
X07HA00024
Participating Start Date
7/1/2018
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #10247
5075 ALABAMA HWY
RINGGOLD, GA 30736
Pharmacy Comments
Contract Details
Approval Date
10/17/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Matt McAdoo, Director
(423) 827-3736
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/17/2016
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