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WALGREEN CO.
CH0413580 HEALTHCARE CENTER FOR HOMELESS INC
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Covered Entity Details
Entity Name
HEALTHCARE CENTER FOR HOMELESS INC
Subdivision Name
MOBILE MEDICAL UNITS
Type
HRSA-Funded Health Center
340B ID
CH0413580
Entity Address
232 N Orange Blossom Trl
Orlando, FL 32805-1612
Grant Number
H80CS00240
Participating Start Date
4/1/2002
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15300
2100 N ORANGE AVE STE B
ORLANDO, FL 32804
Pharmacy Comments
Contract Details
Approval Date
1/14/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bakari Fuasi Burns, President and Chief Executive Officer
(407) 428-5751 Ext: 1344
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2019
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