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WALGREENS SPECIALTY PHARMACY, LLC
STD33018 WHEAT Community Services
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Covered Entity Details
Entity Name
WHEAT Community Services
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33018
Entity Address
3410 W 84th Street
Suite #110
Hialeah, FL 33018
Grant Number
NH25PS005131
Participating Start Date
10/1/2020
Last Recertification Date
6/3/2024
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188
Pharmacy Comments
Contract Details
Approval Date
4/15/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Regina F Cooper, Director
(954) 661-7227
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2022
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