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WALGREENS SPECIALTY PHARMACY, LLC
HV32935 UNCONDITIONAL LOVE, INC
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Covered Entity Details
Entity Name
UNCONDITIONAL LOVE, INC
Subdivision Name
Type
Ryan White Part C
340B ID
HV32935
Entity Address
1495 N. HARBOR CITY BLVD
MELBOURNE, FL 32935
Grant Number
H76HA00615
Participating Start Date
4/1/2003
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188
Pharmacy Comments
Contract Details
Approval Date
10/9/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jessica J Seidita, CEO
(321) 259-8928 Ext: 206
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/9/2020
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