Contract Pharmacy Details

WALGREEN CO.
RWI33033 AIDS Healthcare Foundation

Covered Entity Details

Entity Name

AIDS Healthcare Foundation

Subdivision Name

AHF Healthcare Center- Homestead

Type

Ryan White Part A

340B ID

RWI33033

Entity Address

925 NE 30th Terrace # 310
Homestead, FL 33033

Grant Number

H89HA00005

Participating Start Date

7/1/2015

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #10264
28875 S. DIXIE HWY
HOMESTEAD, FL 33033

Pharmacy Comments

Contract Details

Approval Date

10/12/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Philip Ho, Senior Director of Pharmacy and 340B Compliance
(323) 860-5323

Contract Pharmacy Representative

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

Signed By Date

10/12/2020

340B Drug Pricing Program Database