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WALGREEN CO.
CH044310 MCR Health, Inc.
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Covered Entity Details
Entity Name
MCR Health, Inc.
Subdivision Name
EDGAR J. PRICE FAMILY & CHILDREN HEALTHCARE CENTER
Type
HRSA-Funded Health Center
340B ID
CH044310
Entity Address
12271 US HIGHWAY 301 NORTH
Parrish, FL 34219-8410
Grant Number
H80CS00097
Participating Start Date
12/1/1992
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15301
3030 1ST AVE N
ST PETERSBURG, FL 33713
Pharmacy Comments
Contract Details
Approval Date
1/6/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Linda Anne Snyder, Chief Compliance Officer/VP Government Affairs,HR
(941) 304-7975
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/6/2021
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