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WALGREEN CO
STD33460 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Lake Worth
Type
Sexually Transmitted Diseases
340B ID
STD33460
Entity Address
201 N. Dixie Highway
Lake Worth, FL 33460
Grant Number
6 NH25PS005131-02-02
Participating Start Date
4/1/2021
Last Recertification Date
5/28/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #10760
1780 S CONGRESS AVE
PALM SPRINGS, FL 33406
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
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