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WALGREEN CO.
CH0415310 BROWARD COMMUNITY AND FAMILY HEALTH CENTERS, INC
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Covered Entity Details
Entity Name
BROWARD COMMUNITY AND FAMILY HEALTH CENTERS, INC
Subdivision Name
BROWARD COMMUNITY & FAMILY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH0415310
Entity Address
5010-5012 HOLLYWOOD BOULEVARD
HOLLYWOOD, FL 33021-6516
Grant Number
H80CS00596
Participating Start Date
10/1/2003
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03525
6817 TAFT STREET
HOLLYWOOD, FL 33024
Pharmacy Comments
Contract Details
Approval Date
8/31/2012
Contract Begin Date
9/4/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ROSALYN FRAZIER, CEO
(954) 266-2999
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
9/4/2012
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