Contract Pharmacy Details

WALGREEN CO.
CH049070 COMMUNITY HEALTH CENTERS OF PINELLAS, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH CENTERS OF PINELLAS, INC.

Subdivision Name

Evara Health - Johnnie Ruth Clarke

Type

HRSA-Funded Health Center

340B ID

CH049070

Entity Address

1344 22nd St S
Saint Petersburg, FL 33712-2744

Grant Number

H80CS00463

Participating Start Date

12/1/1992

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 09031
3851 4TH ST NORTH
ST PETERSBURG, FL 33703

Pharmacy Comments

Contract Details

Approval Date

2/25/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Pat Mabe, CEO
(727) 824-8100

Contract Pharmacy Representative

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

Signed By Date

2/25/2013

340B Drug Pricing Program Database