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WALGREEN CO.
STD337721 Advanced Bay Area Medical Associates
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Covered Entity Details
Entity Name
Advanced Bay Area Medical Associates
Subdivision Name
Seminole Office
Type
Sexually Transmitted Diseases
340B ID
STD337721
Entity Address
8207 113th Street
Seminole, FL 33772
Grant Number
NH25PS005131
Participating Start Date
8/31/2020
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03556
10121 SEMINOLE BLVD
SEMINOLE, FL 33772
Pharmacy Comments
Contract Details
Approval Date
1/22/2021
Contract Begin Date
1/25/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeffrey R Levenson, President
(727) 384-2479
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/22/2021
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