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WALGREEN CO
STD334451 Monarch Health Services Inc
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Covered Entity Details
Entity Name
Monarch Health Services Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD334451
Entity Address
14000 S Military Trail
STE 110
DELRAY BEACH, FL 33484
Grant Number
NH25PS005131
Participating Start Date
12/22/2020
Last Recertification Date
5/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #5489
4999 W ATLANTIC AVE
DELRAY BEACH, FL 33445
Pharmacy Comments
Contract Details
Approval Date
1/5/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Damion Baker, CEO
(561) 374-2984
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/5/2022
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