340B Drug Pricing Program Database
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WALGREEN CO.
CH040370 FLORIDA CHC'S, INC.
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Covered Entity Details
Entity Name
FLORIDA CHC'S, INC.
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH040370
Entity Address
5827 CORPORATE WAY
WEST PALM BEACH, FL 33407
Grant Number
H80CS00798
Participating Start Date
12/1/1992
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12122
1954 SW GATLIN BLVD
PORT SAINT LUCIE, FL 34953
Pharmacy Comments
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Margaret Virginia Russell, VP & CFO
(561) 844-9443 Ext: 1003
Contract Pharmacy Representative
Florida Community Health Center, Inc.
Margaret Virginia Russell, VP & CFO
(561) 844-9443 Ext: 1003
Signed By Date
10/14/2019
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