Contract Pharmacy Details

WALGREEN CO.
HV32935 UNCONDITIONAL LOVE, INC

Covered Entity Details

Entity Name

UNCONDITIONAL LOVE, INC

Subdivision Name

Type

Ryan White Part C

340B ID

HV32935

Entity Address

1495 N. HARBOR CITY BLVD
MELBOURNE, FL 32935

Grant Number

H76HA00615

Participating Start Date

4/1/2003

Last Recertification Date

3/4/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA WALGREENS SPECIALTY PHARMACY #15300
2100 N ORANGE AVE STE B
ORLANDO, FL 32804

Pharmacy Comments

Contract Details

Approval Date

1/11/2016

Contract Begin Date

4/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/5/2020
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Bill Goode, CFO
(321) 259-8928

Contract Pharmacy Representative

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

Signed By Date

1/11/2016

340B Drug Pricing Program Database