340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
STD337101 Advanced Bay Area Medical Associates
Print
Covered Entity Details
Entity Name
Advanced Bay Area Medical Associates
Subdivision Name
St Pete Office
Type
Sexually Transmitted Diseases
340B ID
STD337101
Entity Address
1700 66th Street North
Sute 510
St Petersburg, FL 33710
Grant Number
NH25PS005131
Participating Start Date
8/27/2020
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03556
10121 SEMINOLE BLVD
SEMINOLE, FL 33772
Pharmacy Comments
Contract Details
Approval Date
1/14/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeffrey R Levenson, President
(727) 384-2479
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session