Contract Pharmacy Details

WALGREEN CO.
RWII34239 CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

Sarasota

Type

Ryan White Part B

340B ID

RWII34239

Entity Address

1425 S. Osprey Avenue
Sarasota, FL 34239

Grant Number

X07HA00057

Participating Start Date

1/1/2014

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 06156
3535 N TAMIAMI TRAIL
SARASOTA, FL 34234-5310

Pharmacy Comments

Contract Details

Approval Date

4/23/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Richard E. Carlisle, President & CEO
(941) 366-0461 Ext: 11111

Contract Pharmacy Representative

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

Signed By Date

4/23/2018

340B Drug Pricing Program Database