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WALGREEN CO.
STD331364 University of Miami PrEP Clinic
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Covered Entity Details
Entity Name
University of Miami PrEP Clinic
Subdivision Name
Rapid Access Wellness Clinic
Type
Sexually Transmitted Diseases
340B ID
STD331364
Entity Address
1951 NW 7th ave
480
Miami, FL 33136
Grant Number
6-NU62PS924532-03-02
Participating Start Date
4/1/2020
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #10793
15705 SW 72ND ST
MIAMI, FL 33193
Pharmacy Comments
Contract Details
Approval Date
4/21/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/21/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Susanne Doblecki-Lewis, Professor of Clinical Medicine and Chief, Division of Infectious Diseases
(305) 243-7652
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/21/2020
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