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WALGREENS.COM, INC.
CH040250 PROJECT HEALTH, INC.
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Covered Entity Details
Entity Name
PROJECT HEALTH, INC.
Subdivision Name
Langley Health Services Sumterville
Type
HRSA-Funded Health Center
340B ID
CH040250
Entity Address
1389 S Us 301
Sumterville, FL 33585-5143
Grant Number
H80CS00412
Participating Start Date
12/1/1992
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
WALGREENS.COM, INC.
Pharmacy Address
WALGREENS #02445
8337 S PARK CIRCLE
ORLANDO, FL 32819
Pharmacy Comments
Contract Details
Approval Date
1/13/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/23/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
John M. Sivon, Chief Strategy Officer
(352) 569-2386
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/13/2020
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