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WALGREEN CO.
RWI33139 AIDS HEALTHCARE FOUNDATION
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Covered Entity Details
Entity Name
AIDS HEALTHCARE FOUNDATION
Subdivision Name
AHF HEALTHCARE CENTER - MIAMI BEACH
Type
Ryan White Part A
340B ID
RWI33139
Entity Address
4308 ALTON ROAD
870
MIAMI BEACH, FL 33140
Grant Number
H89HA00005
Participating Start Date
10/1/2013
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 02128
1845 ALTON ROAD
MIAMI BEACH, FL 33139
Pharmacy Comments
Contract Details
Approval Date
4/12/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/12/2021
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