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WALGREENS.COM, INC.
CH0413580 HEALTHCARE CENTER FOR HOMELESS INC
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Covered Entity Details
Entity Name
HEALTHCARE CENTER FOR HOMELESS INC
Subdivision Name
MOBILE MEDICAL UNITS
Type
HRSA-Funded Health Center
340B ID
CH0413580
Entity Address
232 N Orange Blossom Trl
Orlando, FL 32805-1612
Grant Number
H80CS00240
Participating Start Date
4/1/2002
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREENS.COM, INC.
Pharmacy Address
WALGREENS #02445
8337 S PARK CIRCLE
ORLANDO, FL 32819
Pharmacy Comments
Contract Details
Approval Date
1/10/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/11/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
Bakari Fuasi Burns, President and Chief Executive Officer
(407) 428-5751 Ext: 1344
Contract Pharmacy Representative
Health Care Center for the Homeless, Inc.
Jomeera Mahone - Davis, Chief Pharmacy Officer
(407) 428-5751
Signed By Date
1/10/2020
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