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WALGREEN CO.
RWIID276261 NORTH CAROLINA DHHS
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Covered Entity Details
Entity Name
NORTH CAROLINA DHHS
Subdivision Name
COMMUNICABLE DISEASE BRANCH
Type
Ryan White Part B ADAP Direct Purchase
340B ID
RWIID276261
Entity Address
225 N. MCDOWELL ST.
RALEIGH, NC 27603-1900
Grant Number
X07HA00051
Participating Start Date
10/1/1998
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09458
841 MERRIMON AVENUE
ASHEVILLE, NC 28804-2404
Pharmacy Comments
Contract Details
Approval Date
6/1/2011
Contract Begin Date
6/1/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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