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WALGREEN CO.
STD336071 Hope and Help Center of Central Florida, Inc.
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Covered Entity Details
Entity Name
Hope and Help Center of Central Florida, Inc.
Subdivision Name
HIV & STD Prevention & Care Services
Type
Sexually Transmitted Diseases
340B ID
STD336071
Entity Address
2123 W. Doctor MLK Jr. Blvd.
Suite 202
Tampa, FL 33607
Grant Number
NH25PS005131
Participating Start Date
4/1/2018
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06732
2102 W BAKER STREET
PLANT CITY, FL 33563-1643
Pharmacy Comments
Contract Details
Approval Date
7/10/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/31/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lisa Barr, Executive Director
(407) 645-2577 Ext: 121
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/10/2018
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