Contract Pharmacy Details

WALGREEN CO.
STD333053 Latinos Salud, Inc. - information as of 4/28/2025 1:52:56 AM

Covered Entity Details

Entity Name

Latinos Salud, Inc.

Subdivision Name

Broward

Type

Sexually Transmitted Diseases

340B ID

STD333053

Entity Address

1401 NE 26th Street
Wilton Manors, FL 33305-1321

Grant Number

2 NU62PS924749-02-00

Participating Start Date

4/17/2020

Last Recertification Date

5/6/2024

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 06011
8001 MIRAMAR PKWY
MIRAMAR, FL 33025-3004

Pharmacy Comments

Contract Details

Approval Date

4/14/2025

Contract Begin Date

7/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Stephen Fallon, PhD, Executive Director
(786) 310-3152

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

4/14/2025

340B Drug Pricing Program Database