Contract Pharmacy Details

WALGREEN CO.
STD337811 Hope and Help Center of Central Florida Inc.

Covered Entity Details

Entity Name

Hope and Help Center of Central Florida Inc.

Subdivision Name

West Central Gastroenterology, d/b/a Gastro Florida

Type

Sexually Transmitted Diseases

340B ID

STD337811

Entity Address

6225 66th St. N.
Pinellas Park, FL 33781

Grant Number

NH25PS004342

Participating Start Date

7/1/2018

Last Recertification Date

5/4/2020

Entity Termination Date

1/1/2021

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 09031
3851 4TH ST NORTH
ST PETERSBURG, FL 33703

Pharmacy Comments

Contract Details

Approval Date

7/16/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2021
Covered Entity Terminated

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

7/16/2018

340B Drug Pricing Program Database