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WALGREEN EASTERN CO., INC.
FP191020 PARTNERSHIP CARE PRACTICE
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Covered Entity Details
Entity Name
PARTNERSHIP CARE PRACTICE
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP191020
Entity Address
Partnership Care Practice
1427 Vine Street, 2nd Floor
PHILADELPHIA, PA 19102
Grant Number
FPHPA036073
Participating Start Date
4/1/2003
Last Recertification Date
5/9/2022
Entity Termination Date
1/1/2023
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS
112 W CHELTEN AVE
PHILADELPHIA, PA 19144
Pharmacy Comments
Contract Details
Approval Date
10/16/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Aleister Saunders, Executive Vice Provost for Research & Innovation
(215) 895-6203
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/16/2017
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