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WALGREEN CO.
RWI32204E AIDS Healthcare Foundation
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Covered Entity Details
Entity Name
AIDS Healthcare Foundation
Subdivision Name
AHF Healthcare Center - West Palm Beach
Type
Ryan White Part A
340B ID
RWI32204E
Entity Address
1411 North Flagler Drive
Suite 9300
West Palm Beach, FL 33401
Grant Number
H89HA00034
Participating Start Date
10/1/2018
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03455
2501 BROADWAY
RIVIERA BEACH, FL 33404
Pharmacy Comments
Contract Details
Approval Date
7/13/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/13/2022
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