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WALGREEN CO.
STD33487 Life Resources LLC
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Covered Entity Details
Entity Name
Life Resources LLC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33487
Entity Address
1157 S. State Road 7
Wellington, FL 33414
Grant Number
NH25PS004342
Participating Start Date
4/1/2021
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 01938
1208 ROYAL PALM BEACH BLVD
ROYAL PALM BEACH, FL 33411-1672
Pharmacy Comments
Contract Details
Approval Date
4/8/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jon Craig Arenstein, CEO/President
(561) 234-6599
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/8/2022
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