Contract Pharmacy Details

WALGREEN CO.
CH042710 TRENTON MEDICAL CENTER

Covered Entity Details

Entity Name

TRENTON MEDICAL CENTER

Subdivision Name

Palms Medical Group - Trenton

Type

HRSA-Funded Health Center

340B ID

CH042710

Entity Address

911 South Main street
Trenton, FL 32693

Grant Number

H80CS00691

Participating Start Date

10/1/1997

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 09617
9125 NW 39TH AVE
GAINESVILLE, FL 32606

Pharmacy Comments

Contract Details

Approval Date

1/4/2019

Contract Begin Date

4/1/2019

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Anita Rembert, CEO
(352) 463-4501

Contract Pharmacy Representative

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

Signed By Date

1/4/2019

340B Drug Pricing Program Database