340B Drug Pricing Program Database
WALGREENS SPECIALTY PHARMACY, LLC
FQHCLA407L Metropolitan Charities, Inc. - information as of 5/27/2025 1:03:02 PM
Covered Entity Details
Entity Name
Metropolitan Charities, Inc.
Subdivision Name
METRO at Fletcher Avenue
Type
Health Center Program Look-Alike
340B ID
FQHCLA407L
Entity Address
3500 E Fletcher Ave
Suite 302
Tampa, FL 33613-4797
Grant Number
LALCS35348
Participating Start Date
12/21/2023
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Priya Rajkumar, Chief Executive Officer
(727) 321-3854 Ext: 1230
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2025
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