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WALGREEN CO.
CH041720 CENTRAL FLORIDA FAMILY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
CENTRAL FLORIDA FAMILY HEALTH CENTER, INC.
Subdivision Name
Sanford Health Center
Type
HRSA-Funded Health Center
340B ID
CH041720
Entity Address
4930 E Lake Mary Blvd
SANFORD, FL 32771-6012
Grant Number
H80CS00178
Participating Start Date
12/1/1992
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06922
113 MAITLAND AVE
ALTAMONTE SPRINGS, FL 32701-4901
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Latrice Stewart, CEO
(407) 322-8645 Ext: 1015
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/15/2019
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