Contract Pharmacy Details

WALGREEN CO.
RWII342371 CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

Tuttle

Type

Ryan White Part B

340B ID

RWII342371

Entity Address

1231 N. TUTTLE AVE
SARASOTA, FL 34237

Grant Number

X07HA00057

Participating Start Date

4/5/2011

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04282
1504 53RD AVE. E
BRADENTON, FL 34203

Pharmacy Comments

Contract Details

Approval Date

4/15/2021

Contract Begin Date

7/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Richard E. Carlisle, President & CEO
(941) 366-0134 Ext: 11111

Contract Pharmacy Representative

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

Signed By Date

4/15/2021

340B Drug Pricing Program Database