340B Drug Pricing Program Database
WALGREEN CO.
STD329073 Comprehensive Health Center, LLC - information as of 4/27/2025 2:02:52 AM
Covered Entity Details
Entity Name
Comprehensive Health Center, LLC
Subdivision Name
Palm Bay
Type
Sexually Transmitted Diseases
340B ID
STD329073
Entity Address
1270 Malabar Road SE
Palm Bay, FL 32907
Grant Number
NH25P5004342-04-01
Participating Start Date
4/1/2021
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05341
4280 MINTON ROAD
MELBOURNE, FL 32904
Pharmacy Comments
Contract Details
Approval Date
10/4/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary Ballantine, Executive Director
(305) 688-0811
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/4/2022
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