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WALGREEN CO.
STD337101 Advanced Bay Area Medical Associates
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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 #15192
710 150TH AVENUE
MADEIRA BEACH, FL 33708
Pharmacy Comments
Contract Details
Approval Date
1/14/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/16/2023
Business decision by covered entity and/or pharmacy
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
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