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WALGREEN CO.
STD344712 26Health, Inc.
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Covered Entity Details
Entity Name
26Health, Inc.
Subdivision Name
Ocala Infectious Disease and Wound Clinic
Type
Sexually Transmitted Diseases
340B ID
STD344712
Entity Address
2651 SW 32nd PL
Ocala, FL 34471
Grant Number
1H25PS00432-02
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 # 03650
2420 E COLONIAL DRIVE
ORLANDO, FL 32803
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
1/1/2021
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
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