340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO
CH0418990 PRIMARY CARE MEDICAL SERVICES OF POINCIANA, INC.
Print
Covered Entity Details
Entity Name
PRIMARY CARE MEDICAL SERVICES OF POINCIANA, INC.
Subdivision Name
PRIMARY CARE MEDICAL SERVICES OF POINCIA
Type
HRSA-Funded Health Center
340B ID
CH0418990
Entity Address
1877 Fortune Rd
Kissimmee, FL 34744-4428
Grant Number
H80CS30749
Participating Start Date
1/1/2009
Last Recertification Date
1/29/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #09333
3340 CANOE CREEK RD
SAINT CLOUD, FL 34772
Pharmacy Comments
Contract Details
Approval Date
7/16/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Belinda Johnson-Cornett, CEO
(407) 414-9760
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/16/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session