Contract Pharmacy Details

WALGREEN CO.
CH040210 CENTRAL FLORIDA HEALTH CARE, INC.

Covered Entity Details

Entity Name

CENTRAL FLORIDA HEALTH CARE, INC.

Subdivision Name

CFHC Avon Park Primary Care

Type

HRSA-Funded Health Center

340B ID

CH040210

Entity Address

950 COUNTY ROAD 17-A, WEST
AVON PARK, FL 33825-2164

Grant Number

H80CS00423

Participating Start Date

1/1/2000

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #11104
40079 US HIGHWAY 27
DAVENPORT, FL 33837

Pharmacy Comments

Contract Details

Approval Date

1/13/2022

Contract Begin Date

4/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

ANN CLAUSSEN, CEO
(863) 291-5115

Contract Pharmacy Representative

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

Signed By Date

1/13/2022

340B Drug Pricing Program Database