Contract Pharmacy Details

WALGREEN CO.
CH040370 FLORIDA CHC'S, INC.

Covered Entity Details

Entity Name

FLORIDA CHC'S, INC.

Subdivision Name

Type

HRSA-Funded Health Center

340B ID

CH040370

Entity Address

5827 CORPORATE WAY
WEST PALM BEACH, FL 33407

Grant Number

H80CS00798

Participating Start Date

12/1/1992

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

WALGREEN #04391
2501 VIRGINIA AVENUE
FORT PIERCE, FL 34981

Pharmacy Comments

Contract Details

Approval Date

4/8/2021

Contract Begin Date

4/8/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Margaret Virginia Russell, VP & CFO
(561) 844-9443 Ext: 1003

Contract Pharmacy Representative

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

Signed By Date

4/8/2021

340B Drug Pricing Program Database