Contract Pharmacy Details

WALGREEN CO.
CH04550F PREMIER COMMUNITY HEALTHCARE GROUP, INC.

Covered Entity Details

Entity Name

PREMIER COMMUNITY HEALTHCARE GROUP, INC.

Subdivision Name

Premier Community Healthcare Group, Inc.

Type

HRSA-Funded Health Center

340B ID

CH04550F

Entity Address

5957 Rowan Rd
NEW PORT RICHEY, FL 34653

Grant Number

H80CS00101

Participating Start Date

10/1/2010

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04289
4255 COMMERCIAL WAY
SPRING HILL, FL 34606-3569

Pharmacy Comments

Contract Details

Approval Date

4/10/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Joseph Resnick, CEO
(352) 518-2000 Ext: 9000

Contract Pharmacy Representative

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

Signed By Date

4/10/2019

340B Drug Pricing Program Database