340B Drug Pricing Program Database
WALGREEN CO.
STD3280513 Florida Department of Health - information as of 4/25/2025 6:00:38 PM
Covered Entity Details
Entity Name
Florida Department of Health
Subdivision Name
Orange County Health Department- Central Building 1
Type
Sexually Transmitted Diseases
340B ID
STD3280513
Entity Address
832 W. Central Blvd.
Orlando, FL 32805
Grant Number
NH25PS005131
Participating Start Date
7/1/2023
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04906
5280 S JOHN YOUNG PKWY
ORLANDO, FL 32839
Pharmacy Comments
Contract Details
Approval Date
4/8/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Beth A. Paterniti, Assistant Director and Deputy Health Officer
(407) 723-4064
Contract Pharmacy Representative
Walgreens
Ruthann Archer, Director of 340B Operations
(847) 964-8116
Signed By Date
4/8/2025
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