Contract Pharmacy Details

WALGREEN CO.
STD331392 University of Miami PrEP Clinic

Covered Entity Details

Entity Name

University of Miami PrEP Clinic

Subdivision Name

Rapid Access Wellness Providing PrEP and Sexual Health Services

Type

Sexually Transmitted Diseases

340B ID

STD331392

Entity Address

1669 Collins Ave
Miami Beach, FL 33139

Grant Number

6-NU62PS924532-03-02

Participating Start Date

1/1/2021

Last Recertification Date

5/10/2023

Entity Termination Date

1/1/2024

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #12463
501 COLLINS AVE.
MIAMI BEACH, FL 33139

Pharmacy Comments

Contract Details

Approval Date

11/18/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/15/2021
Pharmacy closed

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

10/18/2020

340B Drug Pricing Program Database