Contract Pharmacy Details

WALGREEN CO.
RWII34239 CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

Sarasota

Type

Ryan White Part B

340B ID

RWII34239

Entity Address

1425 S. Osprey Avenue
Sarasota, FL 34239

Grant Number

X07HA00057

Participating Start Date

1/1/2014

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04979
3901 S TAMIAMI TRAIL
SARASOTA, FL 34231

Pharmacy Comments

Contract Details

Approval Date

10/12/2021

Contract Begin Date

1/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127

Contract Pharmacy Representative

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

Signed By Date

10/12/2021

340B Drug Pricing Program Database