340B Drug Pricing Program Database
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WALGREEN CO.
STD328081 Positive Assistance, INC.
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Covered Entity Details
Entity Name
Positive Assistance, INC.
Subdivision Name
Good Care Rehab & Wellness, Inc.
Type
Sexually Transmitted Diseases
340B ID
STD328081
Entity Address
885 N powers Dr, Suite B
Orlando, FL 32808-6842
Grant Number
5NU62PS924532-02
Participating Start Date
10/1/2020
Last Recertification Date
5/10/2021
Entity Termination Date
7/1/2022
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03554
6651 OLD WINTER GARDEN RD.
ORLANDO, FL 32835
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Andre J Antenor, President
(863) 242-3322
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/15/2021
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