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WALGREEN CO.
STD334304 WHEAT Community Services
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Covered Entity Details
Entity Name
WHEAT Community Services
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD334304
Entity Address
366 S. Main
Belle Glade, FL 33430
Grant Number
NH25PS005131
Participating Start Date
6/16/2021
Last Recertification Date
6/3/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 15640
18410 PINES BLVD
PEMBROKE PINES, FL 33029
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Regina F Cooper, Director
(954) 661-7227
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/15/2021
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