Contract Pharmacy Details

WALGREEN CO.
CH040250 PROJECT HEALTH, INC

Covered Entity Details

Entity Name

PROJECT HEALTH, INC

Subdivision Name

THOMAS E. LANGLEY MEDICAL CENTER

Type

HRSA-Funded Health Center

340B ID

CH040250

Entity Address

1389 SOUTH US HIGHWAY 301
SUMTERVILLE, FL 33585

Grant Number

H80CS00412

Participating Start Date

12/1/1992

Last Recertification Date

2/17/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 03389
3529 E SILVER SPRINGS BLVD
OCALA, FL 34470

Pharmacy Comments

Contract Details

Approval Date

7/1/2022

Contract Begin Date

10/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

John M. Sivon, Chief Strategy Officer
(352) 569-2386

Contract Pharmacy Representative

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

Signed By Date

7/1/2022

340B Drug Pricing Program Database