Contract Pharmacy Details

WALGREEN CO.
FQHCLA356 Whole Family Health Center, Inc.

Covered Entity Details

Entity Name

Whole Family Health Center, Inc.

Subdivision Name

Whole Family Health Center

Type

Health Center Program Look-Alike

340B ID

FQHCLA356

Entity Address

725 N US Highway 1
Fort Pierce, FL 34950-9125

Grant Number

LALCS31468

Participating Start Date

10/24/2017

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04619
999 SEBASTIAN BLVD
SEBASTIAN, FL 32958

Pharmacy Comments

Contract Details

Approval Date

7/12/2022

Contract Begin Date

10/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Marie Andress, CEO
(772) 925-8200

Contract Pharmacy Representative

Whole Family Health Center
Jamie Lynnette Merritt, Vice President
(772) 925-8200 Ext: 104

Signed By Date

7/12/2022

340B Drug Pricing Program Database