340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO
STD32703 Two Spirit Health Services, Inc.
Print
Covered Entity Details
Entity Name
Two Spirit Health Services, Inc.
Subdivision Name
Theo Medical Dermatology
Type
Sexually Transmitted Diseases
340B ID
STD32703
Entity Address
3030 E Semoran Blvd
258
Apopka, FL 32703
Grant Number
1H25PS004342-02
Participating Start Date
7/1/2019
Last Recertification Date
Entity Termination Date
1/1/2020
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #10951
550 S. ORLANDO AVE
WINTER PARK, FL 32789-3664
Pharmacy Comments
Contract Details
Approval Date
7/2/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
David Baker-Hargrove, President/Co-CEO
(321) 800-2922
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/2/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session