Contract Pharmacy Details

WALGREEN CO.
STD33316 CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

BHC

Type

Sexually Transmitted Diseases

340B ID

STD33316

Entity Address

315 SE 14th St.
Fort Lauderdale, FL 33316

Grant Number

1 NH25PS005131-01-00

Participating Start Date

10/1/2017

Last Recertification Date

5/29/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 06352
8801 W COMMERCIAL BLVD
TAMARAC, FL 33351

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