340B Drug Pricing Program Database
WALGREEN CO.
STD333193 Lauderdale Health Foundation, INC - information as of 6/16/2025 11:45:33 PM
Covered Entity Details
Entity Name
Lauderdale Health Foundation, INC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD333193
Entity Address
4000 N. State Road 7
Suite 103
Lauderdale Lakes, FL 33319
Grant Number
NH25PS005131
Participating Start Date
1/1/2025
Last Recertification Date
5/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04141
3099 N. STATE ROAD 7
LAUDERDALE LAKES, FL 33313-1913
Pharmacy Comments
Contract Details
Approval Date
4/13/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Oluwole Olumide, Treasurer
(954) 530-3182
Contract Pharmacy Representative
Walgreens
Ruthann Archer, Director of 340B Operations
(847) 964-8116
Signed By Date
4/13/2025
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