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WALGREEN CO.
STD34135 The McGregor Clinic, Inc
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Covered Entity Details
Entity Name
The McGregor Clinic, Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD34135
Entity Address
3501 Health Center Boulevard
Suite 2205
Bonita Springs, FL 34135
Grant Number
NH25PS004342
Participating Start Date
1/1/2019
Last Recertification Date
5/11/2021
Entity Termination Date
10/1/2021
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09219
17065 PINE RIDGE RD
FORT MYERS BEACH, FL 33931
Pharmacy Comments
Contract Details
Approval Date
7/2/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
SHARON MURPHY, CEO / DIRECTOR
(239) 334-9555 Ext: 8018
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/2/2021
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